FORM 1023-EZ for THE JOHN PECORARO ART FOR ALS AND LYME FOUNDATION

Field Data
EIN 82-5148885
Case Number EO-2018106-000610
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JOHN PECORARO ART FOR ALS AND LYME FOUNDATION
Organization’s Mailing Address 5032 WOODMINSTER LANE
City OAKLAND
State CA
ZIP 94602
Accounting period End 12
Primary contact name JESSICA BARSOTTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN PECORARO
SECRETARY/BOARD MEMBER
129 S NAVARRA
SCOTTS VALLEY CA 94564

Officer/Director/Trustee Two

JESSICA BARSOTTI
CEO/CFO
5032 WOODMINSTER LANE
OAKLAND CA 94602

Officer/Director/Trustee Three

LISA DEEGAN
BOARD MEMBER
129 S NAVARRA
SCOTTS VALLEY CA 94564

Officer/Director/Trustee Four

MARK PECORARO
BOARD MEMBER
41 BIRCH STREET
WALNUT CREEK CA 94594

Organization’s website WWW.ART4ALS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 JESSICA BARSOTTI
Signature Title CEO/CFO
Signature Date 4/11/18

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