FORM 1023-EZ for TRANSITIONAL CITIZENS ASSISTANCE

Field Data
EIN 82-1710317
Case Number EO-2017160-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRANSITIONAL CITIZENS ASSISTANCE
Organization’s Mailing Address 6318COUNTY ROAD 178
City SALIDA
State CA
ZIP 81201-9572
Accounting period End 12
Primary contact name DAVID GROVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GROVER
CEO
6318 COUNTY ROAD 178
SALIDA CO 81201-9572

Officer/Director/Trustee Two

MICHAEL CUDDY
DIRECTOR
4350 MORAGA
SAN DIEGO CA 92117-4760

Officer/Director/Trustee Three

PATRICIA CUDDY
DIRECTOR
9100 E FLORIDA 9-306
DENVER CO 80247-2858

Officer/Director/Trustee Four

JEANNINE CHELF
DIRECTOR
724 J STREET
SALIDA CO 81201-1809

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S51 -
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 No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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