FORM 1023-EZ for COLEMAN CHRISTENSEN MEMORIAL FUND

Field Data
EIN 83-3447385
Case Number EO-2019039-000806
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLEMAN CHRISTENSEN MEMORIAL FUND
Organization’s Mailing Address 3974 RUSTIC LANE
City VACAVILLE
State CA
ZIP 95688
Accounting period End 12
Primary contact name LISA CHRISTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CHRISTENSEN
PRESIDENT
3974 RUSTIC LANE
VACAVILLE CA 95688

Officer/Director/Trustee Two

HAYLIE HOLBEIN
VICE PRESIDENT
530 KENTUCKY ST
VACAVILLE CA 95688

Officer/Director/Trustee Three

DUSTIN DELORFICE
SECRETARY
61 ELDRIDGE
VACAVILLE CA 95688

Officer/Director/Trustee Four

KIRK SMITH
TREASURER
620 BLARNEY CIRCLE
VACAVILLE CA 95688

Officer/Director/Trustee Five

GORDON CLARY
2ND VICE PRESIDENT
401 MOJAVE CT
VACAVILLE CA 95688

Organization’s website
Organization’s email LCHRISTENSEN451@SBCGLOBAL.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 LISA CHRISTENSEN
Signature Title PRESIDENT
Signature Date 2/5/19

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