FORM 1023-EZ for ST HELENA HIGH SCHOOL ATHLETC HALLOF FAME

Field Data
EIN 46-3079249
Case Number EO-2015286-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST HELENA HIGH SCHOOL ATHLETC HALLOF FAME
Organization’s Mailing Address 1075 CRINELLA CT
City ST HELENA
State CA
ZIP 94574
Accounting period End 12
Primary contact name MEL VARRELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM HUNT
PRESIDENT
972 WINDSOR
NAPA CA 94559

Officer/Director/Trustee Two

BOB FELLION
VICE PRESIDENT
267 VIA MONTE
SAINT HELENA CA 94574

Officer/Director/Trustee Three

CINDY WARREN
SECRETARY
1317 ALLYN AVE
SAINT HELENA CA 94574

Officer/Director/Trustee Four

MIKE WERLE
TREASURER
1075 CRINELLA CT
SAINT HELENA CA 94574

Officer/Director/Trustee Five

MEL VARRELMAN
ACCOUNTANT
1417 RAILROAD AVE
SAINT HELENA CA 94574

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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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