FORM 1023-EZ for PATRA FOUNDATION

Field Data
EIN 47-4470509
Case Number EO-2015272-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PATRA FOUNDATION
Organization’s Mailing Address 4990 HILLSDALE CIRCLE SUITE 300
City EL DORADO HILLS
State CA
ZIP 95762-5770
Accounting period End 12
Primary contact name CARL TARRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SIMPSON
PRESIDENT
4990 HILLSDALE CIRCLE SUITE 300
EL DORADO HILLS CA 95762-5770

Officer/Director/Trustee Two

JONATHAN PYLE
VICE PRESIDENT
4990 HILLSDALE CIRCLE SUITE 300
EL DORADO HILLS CA 95762-5770

Officer/Director/Trustee Three

PAUL MISSO
TREASURER
4990 HILLSDALE CIRCLE SUITE 300
EL DORADO HILLS CA 95762-5770

Officer/Director/Trustee Four

ERIKA PETERS
SECRETARY
4990 HILLSDALE CIRCLE SUITE 300
EL DORADO HILLS CA 95762-5770

Officer/Director/Trustee Five

CARL TARRANT
DIRECTOR
4990 HILLSDALE CIRCLE SUITE 300
EL DORADO HILLS CA 95762-5770

Organization’s website PATRACORP.COM
Organization’s email CTARRANT@PATRACORP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund 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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