FORM 1023-EZ for CAMPBELL COMMUNITY EMERGENCY RESPONSE TEAM - CERT

Field Data
EIN 47-4929009
Case Number EO-2015247-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMPBELL COMMUNITY EMERGENCY RESPONSE TEAM - CERT
Organization’s Mailing Address 1206 E CAMPBELL AVE
City CAMPBELL
State CA
ZIP 95008
Accounting period End 12
Primary contact name STEVEN TEETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK DUNKLE
PRESIDENT
1385 MCBAIN AVE
CAMPBELL CA 95008

Officer/Director/Trustee Two

MIKE POLLOCK
VICE PRESIDENT
3975 ACAPULCO DRIVE
CAMPBELL CA 95008

Officer/Director/Trustee Three

JACKIE WYCKOFF
SECRETARY
197 BRANBURY DRIVE
CAMPBELL CA 95008

Officer/Director/Trustee Four

MANRIQUE ZUNIGA
TREASURER
441 WEST LATIMER AVENUE
CAMPBELL CA 95008

Officer/Director/Trustee Five

STEVEN TEETER
PROGRAM MANAGER
1206 E CAMPBELL AVE
CAMPBELL CA 95008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 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 Yes
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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