FORM 1023-EZ for THE GOODIE BAG LADY

Field Data
EIN 82-1922468
Case Number EO-2017181-000137
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GOODIE BAG LADY
Organization’s Mailing Address 14433 BANCROFT AVENUE APARTMENT 1
City SAN LEANDRO
State CA
ZIP 94578-2828
Accounting period End 12
Primary contact name DIANE JESUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE JESUS
PRESIDENT/DIRECTOR
14433 BANCROFT AVENUE APARTMENT 1
SAN LEANDRO CA 94578-2828

Officer/Director/Trustee Two

AUDRA CAMPBELL
VICE PRESIDENT/DIRECTOR
15573 MONTREAL STREET
SAN LEANDRO CA 94579-2235

Officer/Director/Trustee Three

LINDA FISHER-WERK
SECRETARY/DIRECTOR
1480 151ST AVENUE
SAN LEANDRO CA 94578-1952

Officer/Director/Trustee Four

SHARON WILLIAMS
TREASURER/DIRECTOR
3126 MAPLE AVENUE
OAKLAND CA 94602-3609

Officer/Director/Trustee Five

MIKE KELLER
DIRECTOR
270 WAYNE AVENUE APARTMENT 302
OAKLAND CA 94606-1217

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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
Signature Title
Signature Date

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