FORM 1023-EZ for NORTHERN CALIFORNIA COUNTIES TIME BANK

Field Data
EIN 47-2955805
Case Number EO-2015033-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA COUNTIES TIME BANK
Organization’s Mailing Address PO BOX 365
City CHICO
State CA
ZIP 95927
Accounting period End 12
Primary contact name SUSAN STEINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN STEINER
PRESIDENT
1308 MANCHESTER ROAD
Chico CA 95926

Officer/Director/Trustee Two

SUSAN ROLL
CHAIR OF BOARD
172 E LINCOLN AVENUE
CHICO CA 95926

Officer/Director/Trustee Three

DILIA LOE
TREASURER
1308 MANCHESTER ROAD
Chico CA 95926

Organization’s website NCCTIMEBANK.ORG
Organization’s email CHICOTIMEBANKMEMBERSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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
Signature Title
Signature Date

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