FORM 1023-EZ for SHASTA RECREATIONAL DEVELOPMENT ASSOCIATION

Field Data
EIN 84-2766576
Case Number EO-2019259-001117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHASTA RECREATIONAL DEVELOPMENT ASSOCIATION
Organization’s Mailing Address 3010 FOREST HILLS DR
City REDDING
State CA
ZIP 96002
Accounting period End 12
Primary contact name REBECKA L RENFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY EHLERS
PRESIDENT
21800 TOPLAND DR SPACE 9
PALO CEDRO CA 96073

Officer/Director/Trustee Two

HEIDI LEE
VICE PRESIDENT
9125 OMEGA LANE
REDDING CA 96002

Officer/Director/Trustee Three

MEGHAN HART
SECRETARY
2600 AVOLA ST
REDDING CA 96002

Officer/Director/Trustee Four

REBECKA RENFER
TREASURER
495 AMHERST PLACE
REDDING CA 96003

Officer/Director/Trustee Five

FRANK CABEZUD
PROJECT MANAGER
3776 MARIO AVE
REDDING CA 96001

Organization’s website HTTP://SHASTAREC.COM
Organization’s email SHASTARECRTC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 REBECKA RENFER
Signature Title TREASURER
Signature Date 9/13/19

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