FORM 1023-EZ for THE PENINSULA POTTERY

Field Data
EIN 83-3514669
Case Number EO-2019050-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PENINSULA POTTERY
Organization’s Mailing Address 719 CARLOS AVENUE
City REDWOOD CITY
State CA
ZIP 94061-3709
Accounting period End 12
Primary contact name MICHAEL BURTON-TILLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BURTON-TILLSON
CHAIR
719 CARLOS AVENUE
REDWOOD CITY CA 94061-3709

Officer/Director/Trustee Two

JOHN EAMES
TREASURER
178 NUEVA AVENUE
REDWOOD CITY CA 94061-3709

Officer/Director/Trustee Three

ANDREW STUART
TRUSTEE
1026 REDWOOD AVENUE
REDWOOD CITY CA 94061-3709

Officer/Director/Trustee Four

DOUGLAS HEINTZ
TRUSTEE
2152 VERA AVE
REDWOOD CITY CA 94061

Officer/Director/Trustee Five

CALE PEEPLES
TRUSTEE
389 NORTHUMBERLAND AVE
REDWOOD CITY CA 94061

Organization’s website HTTPS://WWW.PENINSULAPOTTERY.ORG
Organization’s email INFO@PENINSULAPOTTERY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BURTON-TILLSON
Signature Title CHAIR
Signature Date 2/14/19

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