FORM 1023-EZ for CAL-PAC WCA

Field Data
EIN 82-2896164
Case Number EO-2021224-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAL-PAC WCA
Organization’s Mailing Address 18225 BUSHARD ST
City FOUNTAIN VALLEY
State CA
ZIP 92708
Accounting period End 12
Primary contact name GLEN HAWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLEN HAWORTH
PRESIDENT
9662 NIGHTINGALE AVE
FOUNTAIN VALLEY CA 92708

Officer/Director/Trustee Two

DEBORAH KWAK
VICE PRESIDENT
300 SOUTH OLIVE ST APT 1001
LOS ANGELES CA 90013

Officer/Director/Trustee Three

THEODORE SMITH
SECRETARY
1203 BEACH LANE
HARBOR CITY CA 90710

Officer/Director/Trustee Four

RILEY MCRAE
TREASURER
320 DATE ST
SAN DIEGO CA 92101

Organization’s website WWW.CALPACWCA.NET
Organization’s email CALPACWCA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GLEN HAWORTH
Signature Title PRESIDENT
Signature Date 8/10/2021

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