FORM 1023-EZ for HEALTH AND PHYSICAL EDUCATION COLLABORATIVE INC

Field Data
EIN 46-5230491
Case Number EO-2014247-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH AND PHYSICAL EDUCATION COLLABORATIVE INC
Organization’s Mailing Address 104 ESTHER LANE
City DANVILLE
State CA
ZIP 94526
Accounting period End 12
Primary contact name TERRI DRAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOREN BISHOP
CHIEF EXECUTIVE OFFICER/DIRECTOR
104 ESTHER LANE
DANVILLE CA 94526

Officer/Director/Trustee Two

TERRI DRAIN
CHIEF FINANCIAL OFFICER/SECRETARY
104 ESTHER LANE
DANVILLE CA 94526

Officer/Director/Trustee Three

DIANE FARTHING
SECRETARY
3633 VIRGIN ISLANDS
PLEASANTON CA 94588

Officer/Director/Trustee Four

GUY FARTHING
DIRECTOR
3633 VIRGIN ISLANDS
PLEASANTON CA 94588

Organization’s website WWW.H-PEC.COM
Organization’s email MAIL@H-PEC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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