FORM 1023-EZ for BSOTC

Field Data
EIN 85-4355697
Case Number EO-2021183-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BSOTC
Organization’s Mailing Address 1526 INNES AVE
City SAN FRANCISCO
State CA
ZIP 94124
Accounting period End 6
Primary contact name JON DUAUPURI HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON HENRY
EXECUTIVE DIRECTOR
1526 INNES AVE
SAN FRANCISCO CA 94124

Officer/Director/Trustee Two

NASEEMA MCELROY
CFO
155 SCOTT CREEK WAY
BRENTWOOD CA 94513

Officer/Director/Trustee Three

TINA EDWARDS
PRESIDENT
1723 ALABAMA STREET
SAN FRANCISCO CA 94110

Officer/Director/Trustee Four

DENISE ALEXANDER
TREASURER
1526 INNES AVE
SAN FRANCISCO CA 94124

Officer/Director/Trustee Five

RONDA METCALF
SECRETARY
550 LEAVENWORTH ST APT 18
SAN FRANCISCO CA 94109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JON HENRY
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/29/2021

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