FORM 1023-EZ for POLYBYDESIGN
| Field | Data |
|---|---|
| EIN | 82-5469282 |
| Case Number | EO-2018150-000063 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | POLYBYDESIGN |
| Organization’s Mailing Address | 7505 WILLOWVIEW CT |
| City | FAIR OAKS |
| State | CA |
| ZIP | 95628 |
| Accounting period End | 12 |
| Primary contact name | CARL JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANNETTE FISO-MOLI
PRESIDENT, DIRECTOR
1012 ANDERSON DR
SUISUN CITY CA 94585
Officer/Director/Trustee Two
CARL JOHNSON
SECRETARY, DIRECTOR
7505 WILLOWVIEW CT
FAIR OAKS CA 95628
Officer/Director/Trustee Three
NICOLLE JOHNSON
TREASURER, DIRECTOR
7505 WILLOWVIEW CT
FAIR OAKS CA 95628
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/20/18 |
| 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: Yes Religious: No 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| 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 | CARL JOHNSON |
| Signature Title | SECRETARY, DIRECTOR |
| Signature Date | 5/24/18 |
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