FORM 1023-EZ for SANTA ROSA ODDFELLOWS NO 53 CHARITIES

Field Data
EIN 83-3225834
Case Number EO-2019190-000428
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANTA ROSA ODDFELLOWS NO 53 CHARITIES
Organization’s Mailing Address 545 PACIFIC AVE
City SANTA ROSA
State CA
ZIP 95404
Accounting period End 12
Primary contact name EUGENE R BALDI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN VOSSBRINK
PRESIDENT
545 PACIFIC AVE
SANTA ROSA CA 95404

Officer/Director/Trustee Two

EUGENE BALDI
TREASURER
545 PACIFIC AVE
SANTA ROSA CA 95404

Officer/Director/Trustee Three

DANIEL DE LA TORRE
TRUSTEE
545 PACIFIC AVE
SANTA ROSA CA 95404

Officer/Director/Trustee Four

DOUG CAESARE
TRUSTEE
545 PACIFIC AVE
SANTA ROSA CA 95404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EUGENE BALDI
Signature Title TREASURER
Signature Date 7/7/19

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