FORM 1023-EZ for SOUTH PASADENA MAYORS PRAYER BREAKFAST

Field Data
EIN 47-5610371
Case Number EO-2015331-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH PASADENA MAYORS PRAYER BREAKFAST
Organization’s Mailing Address PO BOX 3617
City SOUTH PASADENA
State CA
ZIP 91031
Accounting period End 6
Primary contact name JON PRIMUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINCOLN SKINNER
PRESIDENT
1505 GARFIELD AVE
SOUTH PASADENA CA 91030

Officer/Director/Trustee Two

FRANK PONNET
DIRECTOR
1501 FREMONT AVE
SOUTH PASADENA CA 91030

Officer/Director/Trustee Three

ANN MOORE
DIRECTOR, TREASURER
812 FREMONT AVE APT 306
SOUTH PASADENA CA 91030

Officer/Director/Trustee Four

NANCY NORRIS
DIRECTOR, SECRETARY
1821 BUSHNELL
SOUTH PASADENA CA 91030

Officer/Director/Trustee Five

JON PRIMUTH
DIRECTOR
1537 RAMONA AVE
SOUTH PASADENA CA 91030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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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