FORM 1023-EZ for WERK SOCIAL

Field Data
EIN 86-1345900
Case Number EO-2021116-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WERK SOCIAL
Organization’s Mailing Address 5960 S LAND PARK DR SUITE 1326
City SACRAMENTO
State CA
ZIP 95822
Accounting period End 12
Primary contact name PATRICE WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERMAN JOHNSON
PRESIDENT
5960 S LAND PARK DR SUITE 1326
SACRAMENTO CA 95822

Officer/Director/Trustee Two

KRISTY ALEXANDER
SECRETARY
5960 S LAND PARK DR SUITE 1326
SACRAMENTO CA 95882

Officer/Director/Trustee Three

JACQUEL WALTERS
TREASURER
5960 S LAND PARK DR SUITE 1326
SACRAMENTO CA 94607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HERMAN JOHNSON
Signature Title PRESIDENT
Signature Date 4/22/2021

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