FORM 1023-EZ for NORTHERN CALIFORNIA PUBLIC BROADCASTING

Field Data
EIN 68-0322466
Case Number EO-2018057-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA PUBLIC BROADCASTING
Organization’s Mailing Address 329A INGALLS ST
City SANTA CRUZ
State CA
ZIP 95060
Accounting period End 12
Primary contact name DAVID JOSEPHSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID JOSEPHSON
PRESIDENT
329A INGALLS ST
SANTA CRUZ CA 95060

Officer/Director/Trustee Two

DEIRDRE SMITH
SECRETARY AND TREASURER
136 ANDERSON ST
SANTA CRUZ CA 95060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/94
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 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 Yes
Correctness Declaration Yes
Signature Name DAVID JOSEPHSON
Signature Title PRESIDENT
Signature Date 2/22/18

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