FORM 1023-EZ for WHEELS FOR STATE

Field Data
EIN 33-0067187
Case Number EO-2015058-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHEELS FOR STATE
Organization’s Mailing Address 3901 SHENANDOAH DR
City OCEANSIDE
State CA
ZIP 92056
Accounting period End 12
Primary contact name SAMANTHA HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS ANDREWS
PRESIDENT
3901 SHENANDOAH DR
OCEANSIDE CA 92056

Officer/Director/Trustee Two

SAMANTHA HALL VINYARD
SECRETARY
3901 SHENANDOAH DR
OCEANSIDE CA 92056

Organization’s website
Organization’s email SURFYOUTHBOWLERS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/1991
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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