FORM 1023-EZ for VENTURA COUNTY FOOD SAFETY ASSOCIATION

Field Data
EIN 81-3901755
Case Number EO-2017020-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VENTURA COUNTY FOOD SAFETY ASSOCIATION
Organization’s Mailing Address 1621 E CHANNEL ISLANDS BLVD 131
City OXNARD
State CA
ZIP 93033
Accounting period End 12
Primary contact name CHRIS SUMMERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS SUMMERS
PRESIDENT
1621 E CHANNEL ISLANDS BLVD 131
OXNARD CA 93033

Officer/Director/Trustee Two

CIERRA ANDERSON
SECRETARY
1621 E CHANNEL ISLANDS BLVD 131
OXNARD CA 93033

Officer/Director/Trustee Three

NIVIA SANTIAGO
CFO/TREASURER
1621 E CHANNEL ISLANDS BLVD 131
OXNARD CA 93033

Officer/Director/Trustee Four

LAURA MILLER
VICE PRESIDENT
1621 E CHANNEL ISLANDS BLVD 131
OXNARD CA 93033

Organization’s website VCFSA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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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