FORM 1023-EZ for PACIFIC SHORES MEDIA CENTER

Field Data
EIN 87-0828776
Case Number EO-2021165-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC SHORES MEDIA CENTER
Organization’s Mailing Address 10 JORDAN AVENUE
City LOS ALTOS
State CA
ZIP 94022-1254
Accounting period End 12
Primary contact name ARMANDO VALDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARMANDO VALDEZ
PRESIDENT
10 JORDAN AVENUE
LOS ALTOS CA 94022-1254

Officer/Director/Trustee Two

MARK PICHE
TREASURER
340 17TH AVENUE
SAN FRANCISCO CA 94121-1317

Officer/Director/Trustee Three

CRISTINA VALDEZ
SECRETARY
340 17TH AVENUE
SAN FRANCISCO CA 94121-1317

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ARMANDO VALDEZ
Signature Title PRESIDENT
Signature Date 6/10/2021

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