FORM 1023-EZ for EAA CHAPTER 663 LIVERMORE

Field Data
EIN 84-4270204
Case Number EO-2020016-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAA CHAPTER 663 LIVERMORE
Organization’s Mailing Address 5430 FAIRWAY COURT
City DISCOVER BAY
State CA
ZIP 94505
Accounting period End 12
Primary contact name PATRICIA J ARTHUR 2848 POA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN YOUNGBLOOD
PRESIDENT
5430 FAIRWAY COURT
DISCOVERY BAY CA 94505

Officer/Director/Trustee Two

TRYSTAN CLARK
VICE PRESIDENT
5430 FAIRWAY COURT
DISCOVERY BAY CA 94505

Officer/Director/Trustee Three

JAN DE VOCHT
TREASURER
5430 FAIRWAY COURT
DISCOVERY BAY CA 94505

Officer/Director/Trustee Four

KIRK KINGHT
SECRETARY
5430 FAIRWAY COURT
DISCOVERY BAY CA 94505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JAN DE VOCHT
Signature Title TREASURER
Signature Date 1/14/2020

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