FORM 1023-EZ for MALCOLMS MIRACLES

Field Data
EIN 85-3931628
Case Number EO-2021034-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MALCOLMS MIRACLES
Organization’s Mailing Address 4433 WHITE OAK COURT
City ROCKLIN
State CA
ZIP 95677
Accounting period End 12
Primary contact name SAMANTHA TAPIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA TAPIA
PRESIDENT/CEO
4433 WHITE OAK COURT
ROCKLIN CA 95677

Officer/Director/Trustee Two

BRANDY GONZALES
TREASURER/CFO
4433 WHITE OAK COURT
ROCKLIN CA 95677

Officer/Director/Trustee Three

ERIC FESSENDEN
VICE PRESIDENT
4433 WHITE OAK COURT
ROCKLIN CA 95677

Officer/Director/Trustee Four

SABRINA MANLEY
SECRETARY
4433 WHITE OAK COURT
ROCKLIN CA 95677

Officer/Director/Trustee Five

DEVYN PRINA
SECRETARY
4002 AITKEN DAIRY
ROCKLIN CA 95677

Organization’s website MALCOLMSMIRACLES.ORG
Organization’s email MALCOLMSMIRACLES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAMANTHA TAPIA
Signature Title PRESIDENT/CEO
Signature Date 12/1/2020

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