FORM 1023-EZ for NAMI SHASTA COUNTY

Field Data
EIN 31-1567653
Case Number EO-2016274-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI SHASTA COUNTY
Organization’s Mailing Address 748 N MARKET ST STE 102
City REDDING
State CA
ZIP 96003
Accounting period End 12
Primary contact name HEATHER JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN POWER
PRESIDENT
5467 BALLS FERRY RD
ANDERSON CA 96007

Officer/Director/Trustee Two

HEATHER JONES
TREASURER
18125 RANCHERA RD
SHASTA LAKE CA 96019

Officer/Director/Trustee Three

NANCI DENAYER
SECREATRY
3069 WANDSWORTH DR
SHASTA LAKE CA 96019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/1996
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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