FORM 1023-EZ for CHP MEMORIAL WALL FOUNDATION

Field Data
EIN 46-2606711
Case Number EO-2015260-000510
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHP MEMORIAL WALL FOUNDATION
Organization’s Mailing Address 1551 BENICIA ROAD
City VALLEJO
State CA
ZIP 94591-7568
Accounting period End 12
Primary contact name MICHELLE LEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOLORES SILVA
PRESIDENT
1551 BENICIA ROAD
VALLEJO CA 94591-7568

Officer/Director/Trustee Two

MICHELLE LEW
SECRETARY/TREASURER
1551 BENICIA ROAD
VALLEJO CA 94591-7568

Officer/Director/Trustee Three

SCOTT DREYER
FISHING TOURNAMENT DIRECTOR
1551 BENICIA ROAD
VALLEJO CA 94591-7568

Officer/Director/Trustee Four

EDWARD SILVA-JR
94591-7568
1551 BENICIA ROAD
VALLEJO CA 94591-7568

Organization’s website CHPMEMORIALWALL.FOUNDATION
Organization’s email INFO@CHPMEMORIALWALL.FOUNDATION
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
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
Signature Title
Signature Date

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