FORM 1023-EZ for PEACE JUSTICE CENTER OF NEVADA COUNTY

Field Data
EIN 81-1667896
Case Number EO-2016064-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACE JUSTICE CENTER OF NEVADA COUNTY
Organization’s Mailing Address 2036 NEVADA CITY HIGHWAY
City GRASS VALLEY
State CA
ZIP 95945
Accounting period End 12
Primary contact name LORRAINE REICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORRAINE REICH
BOARD MEMBER
254 COLFAX AVENUE
GRASS VALLEY CA 95945

Officer/Director/Trustee Two

DAVID WALLACE
BOARD MEMBER
2036 NEVADA CITY HIGHWAY
GRASS VALLEY CA 95945

Officer/Director/Trustee Three

STEPHENIE LA ROQUE
BOARD MEMBER
254 COLFAX AVENUE
GRASS VALLEY CA 95945

Officer/Director/Trustee Four

SUSAN PELICAN
BOARD MEMBER
2036 NEVADA CITY HIGHWAY
GRASS VALLEY CA 95945

Officer/Director/Trustee Five

CAROL KUZORCA
BOARD MEMBER
254 COLFAX AVENUE
GRASS VALLEY CA 95945

Organization’s website NCPEACE.ORG
Organization’s email NCPEACE@SBCGLOBAL.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
One Third Support Gifts No
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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