FORM 1023-EZ for ACTION FOR MANTAS

Field Data
EIN 81-1005011
Case Number EO-2016012-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTION FOR MANTAS
Organization’s Mailing Address 6051 LA JOLLA HERMOSA AVE
City LA JOLLA
State CA
ZIP 92037
Accounting period End 12
Primary contact name MATTHEW NADBORALSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA STEWART
PRESIDENT
6051 LA JOLLA HERMOSA AVE
LA JOLLA CA 92037

Officer/Director/Trustee Two

NICOLAS TROLLOPE
VICE PRESIDENT
1861 CAMINO A LOS CERROS
MENLO PARK CA 94025

Officer/Director/Trustee Three

MARY PATRICIA O MALLEY
SECRETARY
19700 NW ADCOCK RD
YAMHILL CA 97148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 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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