FORM 1023-EZ for THEOGERNTOLOGY INSTITUTE

Field Data
EIN 81-2696690
Case Number EO-2016267-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THEOGERNTOLOGY INSTITUTE
Organization’s Mailing Address 5646 N LAFAYETTE AVE
City FRESNO
State CA
ZIP 93711
Accounting period End 12
Primary contact name STEVE FENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE FENTON
PRESIDENT, DIRECTOR
5646 N LAFAYETTE AVE
FRESNO CA 93711

Officer/Director/Trustee Two

MARY GIPSON
SECRETARY, DIRECTOR
1595 LOS OSOS VALLEY RD
LOS OSOS CA 93402

Officer/Director/Trustee Three

ARTHUR GARCIA
TREASURER, DIRECTOR
1434 W SHAW AVE STE B
FRESNO CA 93711

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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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