FORM 1023-EZ for GENEPOOL

Field Data
EIN 82-2243416
Case Number EO-2017215-000591
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENEPOOL
Organization’s Mailing Address 13520 3RD AVE SUITE 601
City VICTORVILE
State CA
ZIP 92395
Accounting period End 12
Primary contact name FARREL PAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FARREL PAYTON
DIRECTOR
13520 3RD AVE SUITE 601
VICTORVILE CA 92395

Officer/Director/Trustee Two

FREDDIE JEAN RICHARDSON
SECRETARY
13520 3RD AVE SUITE 601
VICTORVILE CA 92395

Officer/Director/Trustee Three

SHAVANAH MCNALLY
FINANCIAL OFFICER
13520 3RD AVE SUITE 601
VICTORVILE CA 92395

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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