FORM 1023-EZ for RUSS S KITCHEN INC

Field Data
EIN 46-1327681
Case Number EO-2016025-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUSS S KITCHEN INC
Organization’s Mailing Address 2970 MILL CREEK RD
City HEALDSBURG
State CA
ZIP 95448-9753
Accounting period End 12
Primary contact name JEAN HOWE LOSSI EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COURTLAND PALMER
PRESIDENT DIRECTOR
2970 MILL CREEK ROAD
HEALDBURG CA 95448-9753

Officer/Director/Trustee Two

LISA PALMER
SECRETARY DIRECTOR
2970 MILL CREEK ROAD
HEALDBURG CA 95448-9753

Officer/Director/Trustee Three

BETTINA KOCHINKE
DIRECTOR
735 SHILOH CANYON RD
SANTA ROSA CA 95403-8089

Officer/Director/Trustee Four

KAREN M CHAMBERLAIN
DIRECTOR
4121 RADFORD AVENUE 301
STUDIO CITY CA 91604-2178

Officer/Director/Trustee Five

KRISTEN LANGER
DIRECTOR
4310 DEER TRAIL ROAD
SANTA ROSA CA 95404-1607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2012
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
Organization’s purpose Charitable: No
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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