FORM 1023-EZ for SERRA CLUB OF MODESTO

Field Data
EIN 23-7549075
Case Number EO-2020113-000031
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERRA CLUB OF MODESTO
Organization’s Mailing Address 333 WEST WACKER DRIVE
City CHICAGO
State IL
ZIP 60606
Accounting period End 5
Primary contact name ROBERT CAMPNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CAMPNEY
TRUSTEE
15918 PATRICK AVE
OMAHA NE 68116

Officer/Director/Trustee Two

JOHN MISIAK
PRESIDENT
3517 BRENTFORD WAY
MODESTO CA 95356

Officer/Director/Trustee Three

JIM BRADY
TREASURER
1800 CARDIGAN WAY
MODESTO CA 95355

Officer/Director/Trustee Four

JIM MCLOUGHLIN
SECRETARY
1700 FAIRINGTON LN
MODESTO CA 95355

Officer/Director/Trustee Five

ERIC HARDEE
VP PROGRAMS
3505 JOANNA DR
MODESTO CA 95355

Organization’s website
Organization’s email CAMPNEYBOB@COX.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/1956
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 No
Donation of funds Yes
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 Yes
Correctness Declaration Yes
Signature Name ROBERT CAMPNEY
Signature Title TRUSTEE
Signature Date 4/18/2020

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