FORM 1023-EZ for CESAR CHAVEZ LANGUAGE ACADEMY FOUNDATION

Field Data
EIN 47-5054324
Case Number EO-2016004-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CESAR CHAVEZ LANGUAGE ACADEMY FOUNDATION
Organization’s Mailing Address 2750 W STEELE LN
City SANTA ROSA
State CA
ZIP 95403
Accounting period End 6
Primary contact name PAULA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULA MILLER
PRESIDENT
1520 PARKER DR
SANTA ROSA CA 95405-4525

Officer/Director/Trustee Two

PATRICE VASQUEZ
SECRETARY
2974 BAY VILLAGE CT APT 1041
SANTA ROSA CA 95403-9082

Officer/Director/Trustee Three

JARED JOHNSON
TREASURER
1517 HEXEM AVE
SANTA ROSA CA 95404-2301

Organization’s website
Organization’s email CCLAFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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
Signature Title
Signature Date

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