FORM 1023-EZ for CIRCLES ORG

Field Data
EIN 84-2027106
Case Number EO-2019219-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCLES ORG
Organization’s Mailing Address 555 BRYANT ST NUM 413
City PALO ALTO
State CA
ZIP 94301
Accounting period End 12
Primary contact name MICHAEL DICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DICKEY
CHAIRPERSON
1126 GUINDA ST
PALO ALTO CA 94301

Officer/Director/Trustee Two

MICHAEL DE GROOT
TREASURER
17044 NE 37TH PL
BELLEVUE WA 98008

Officer/Director/Trustee Three

MARC MANASHIL
SECRETARY
1821 VALLEJO WAY
SACRAMENTO CA 95818

Organization’s website WWW.CIRCLES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL DICKEY
Signature Title CHAIRPERSON
Signature Date 8/5/19

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