FORM 1023-EZ for THE ROAD CHURCH OF THE ANTELOPE VALLEY

Field Data
EIN 81-2638260
Case Number EO-2017097-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ROAD CHURCH OF THE ANTELOPE VALLEY
Organization’s Mailing Address 7322 GILA CT
City PALMDALE
State CA
ZIP 93551
Accounting period End 4
Primary contact name HOLLY JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SANTERO
PRESIDENT
42026 TILTON DR
QUARTZ HILL CA 93536

Officer/Director/Trustee Two

DAVID JENNINGS
TREASURER
5608 GARDENDALE LANE
PALMDALE CA 93551

Officer/Director/Trustee Three

WILLIAM GRUNDY
SECRETARY
7322 GILA CT
PALMDALE CA 93551

Organization’s website WWW.THEROADAV.COM
Organization’s email THEROADAV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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
Signature Title
Signature Date

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