FORM 1023-EZ for THE CHILDRENS SCOLIOSIS FOUNDATION

Field Data
EIN 81-3732643
Case Number EO-2016251-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHILDRENS SCOLIOSIS FOUNDATION
Organization’s Mailing Address 13440 COUNTRYSIDE RANCH RD
City GRASS VALLEY
State CA
ZIP 95949
Accounting period End 12
Primary contact name ANNE KNOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE KNOX
SECRETARY
13440 COUNTRYSIDE RANCH RD
GRASS VALLEY CA 95949

Officer/Director/Trustee Two

ROWAN KNOX
PRESIDENT
13440 COUNTRYSIDE RANCH RD
GRASS VALLEY CA 95949

Officer/Director/Trustee Three

SHARYL OVERHOLSER
TREASURER
13440 COUNTRYSIDE RANCH RD
GRASS VALLEY CA 95949

Organization’s website
Organization’s email ANNE@SBBMAIL,.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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