FORM 1023-EZ for CALAVERAS COUNTY SHERIFFS OFFICE RESERVE DEPUTY ASSOCIATION CHARITY

Field Data
EIN 81-2255678
Case Number EO-2016111-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALAVERAS COUNTY SHERIFFS OFFICE RESERVE DEPUTY ASSOCIATION CHARITY
Organization’s Mailing Address PO BOX 1591
City VALLEY SPRINGS
State CA
ZIP 95252-1591
Accounting period End 7
Primary contact name DAN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN JOHNSON
CHIEF EXECUTIVE OFFICER
P O BOX241
SAN ANDREAS CO 95249-0241

Officer/Director/Trustee Two

JACK CHEW
CHEIF FINANCIAL OFFICER
P O BOX 1377
ANGELS CAMP CA 95222-1377

Officer/Director/Trustee Three

DAVE WHITING
SECRATARY
P O BOX 815
VALLEY SPRINGS CA 95252-0815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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