FORM 1023-EZ for COASTLANDS FOUNDATION

Field Data
EIN 84-2042900
Case Number EO-2019203-000577
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COASTLANDS FOUNDATION
Organization’s Mailing Address 4864 MARKET ST STE B
City VENTURA
State CA
ZIP 93003
Accounting period End 12
Primary contact name ERIC BAUCOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC BAUCOM
PRESIDENT
4864 MARKET ST STE B
VENTURA CA 93003

Officer/Director/Trustee Two

JANET BAUCOM
SECREARY/TREASURER
4864 MARKET ST STE B
VENTURA CA 93003

Officer/Director/Trustee Three

TODD WHITE
BOARD MEMBER
4864 MARKET ST STE B
VENTURA CA 93003

Officer/Director/Trustee Four

DANELLE SINGLETON
BOARD MEMBER
4863 MARKET ST STE B
VENTURA CA 93003

Officer/Director/Trustee Five

BRUCE JEPSEN
BOARD MEMBER
4864 MARKET ST STE B
VENTURA CA 93003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 ERIC BAUCOM
Signature Title PRESIDENT
Signature Date 7/20/19

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