FORM 1023-EZ for EGUSD FIRST FOUNDATION

Field Data
EIN 86-2805489
Case Number EO-2021152-000611
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EGUSD FIRST FOUNDATION
Organization’s Mailing Address 9510 ELK GROVE FLORIN ROAD RM 111
City ELK GROVE
State CA
ZIP 95624
Accounting period End 6
Primary contact name JEROME M BEHRENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYSETTE LEMAY
DIRECTOR PRESIDENT
9510 ELK GROVE FLORIN ROAD RM 111
ELK GROVE CA 95624

Officer/Director/Trustee Two

LISA LEVASSEUR
TREASURER
9510 ELK GROVE FLORIN ROAD RM 111
ELK GROVE CA 95624

Officer/Director/Trustee Three

JANE ROSS
SECRETARY
9510 ELK GROVE FLORIN RD RM 111
ELK GROVE CA 95624

Officer/Director/Trustee Four

DAHLTON BROWN
DIRECTOR
9510 ELK GROVE FLORIN ROAD RM 111
ELK GROVE CA 95624

Officer/Director/Trustee Five

PHYLLIS BALTZ
DIRECTOR
9510 ELK GROVE FLORIN ROAD RM 111
ELK GROVE CA 95624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYSETTE LEMAY
Signature Title DIRECTOR PRESIDENT
Signature Date 5/27/2021

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