FORM 1023-EZ for SAN JACINTO EDUCATION FOUNDATION

Field Data
EIN 82-1407198
Case Number EO-2017125-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN JACINTO EDUCATION FOUNDATION
Organization’s Mailing Address 2045 S SAN JACINTO AVE
City SAN JACINTO
State CA
ZIP 92583
Accounting period End 6
Primary contact name MARY DEANNA COZART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY PEEBLES
PRESIDENT
23255 BEECH ST
HEMET CA 92545

Officer/Director/Trustee Two

NEAL CONIJN
VICE PRESIDENT
22384 ALLESANDRO AVE
SAN JACINTO CA 92583

Officer/Director/Trustee Three

CHARLENE STOVER
SECRETARY
43131 WALL ST UNIT A
HEMET CA 92544

Officer/Director/Trustee Four

HENRIETTE NIEBLAS
TREASURER
3787 ENGLISH DR
HEMET CA 92544

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2001
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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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