FORM 1023-EZ for GATHER AND SERVE FOUNDATION

Field Data
EIN 84-5106692
Case Number EO-2020122-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GATHER AND SERVE FOUNDATION
Organization’s Mailing Address 1780 N RIDGEWOOD STREET
City ORANGE
State CA
ZIP 92865
Accounting period End 12
Primary contact name KAREN CAUSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN CAUSEY
PRESIDENT/DIRECTOR
1780 N RIDGEWOOD STREET
ORANGE CA 92865

Officer/Director/Trustee Two

RACHEL GONZALES
SECRETARY
400 S FLOWER STREET UNIT 48
ORANGE CA 92868

Officer/Director/Trustee Three

KIM MANOS
TREASURER
511 MEYER LANE 22
REDONDO BEACH CA 92865

Organization’s website HTTP://WWW.GATHERANDSERVE.ORG
Organization’s email GATHERANDSERVEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAREN CAUSEY
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/29/2020

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