FORM 1023-EZ for CREEKSIDE ARTS AND EDUCATION INC

Field Data
EIN 83-3369544
Case Number EO-2019289-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREEKSIDE ARTS AND EDUCATION INC
Organization’s Mailing Address 72 THE TERRACE
City WILLOW CREEK
State CA
ZIP 95573-717
Accounting period End 5
Primary contact name MARY FRACESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDITH NELSON
PRESIDENT
76 COUNTRY CLUB DRIVE UNIT 3
WILLOW CREEK CA 95573-1288

Officer/Director/Trustee Two

HANNAH WHYTE
SECRETARY
1950 CA HWY 96
WILLOW CREEK CA 95573-465

Officer/Director/Trustee Three

MARY FRACESS
TREASURER
450 BRADBURN LANE
WILLOW CREEK CA 95573-604

Officer/Director/Trustee Four

KIM YODER
DIRECTOR
1600 CA HWY 96
WILLOW CREEK CA 95573-1093

Officer/Director/Trustee Five

KATHLEEN SONN
DIRECTOR
114 ORCHARD LANE
WILLOW CREEK CA 95573-1254

Organization’s website
Organization’s email HIITSCREEKSIDE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 MARY FRACESS
Signature Title TREASURER
Signature Date 10/14/19

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