FORM 1023-EZ for NIOSHA CONSERVATORY OF ARTS

Field Data
EIN 82-2361038
Case Number EO-2017221-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NIOSHA CONSERVATORY OF ARTS
Organization’s Mailing Address 1149 SUNSET CREEK LANE
City PLEASONTON
State CA
ZIP 94566
Accounting period End 12
Primary contact name TOURIA MOBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIOSHA NAFEI-JAMALI
PRESIDENT
1149 SUNSET CREEK LANE
PLEASONTON CA 94566

Officer/Director/Trustee Two

FARDAD JAMALI
SECRETARY
1149 SUNSET CREEK LANE
PLEASONTON CA 94566

Officer/Director/Trustee Three

NEDA NAFEI
TREASURER
570 BONITA AVE
PLEASONTON CA 94566

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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