FORM 1023-EZ for LAKE PILLSBURY ALLIANCE

Field Data
EIN 84-1774974
Case Number EO-2019252-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE PILLSBURY ALLIANCE
Organization’s Mailing Address 1134 HALYARD DR
City SANTA ROSA
State CA
ZIP 95401
Accounting period End 12
Primary contact name DARYL REESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK LYNCH
DIRECTOR/PRESIDENT
1134 HALYARD DR
SANTA ROSA CA 95401

Officer/Director/Trustee Two

CAROLYN CINQUINI
DIRECTOR/VICE-PRESIDENT
1134 HALYARD DR
SANTA ROSA CA 95401

Officer/Director/Trustee Three

NANCY HORTON
DIRECTOR/SECRETARY
1134 HALYARD DR
SANTA ROSA CA 95401

Officer/Director/Trustee Four

GEORGE CINQUINI
DIRECTOR
1134 HALYARD DR
SANTA ROSA CA 95401

Organization’s website WWW.SAVELAKEPILLSBURY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
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 FRANK LYNCH
Signature Title DIRECTOR/PRESIDENT
Signature Date 9/5/19

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