FORM 1023-EZ for THE DIABLO GROTTO- A CHAPTER OF THENATIONAL SPELEOLOGICAL SOCIETY

Field Data
EIN 82-5168441
Case Number EO-2018157-000006
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DIABLO GROTTO- A CHAPTER OF THENATIONAL SPELEOLOGICAL SOCIETY
Organization’s Mailing Address 2452 MEDALLION DR
City UNION CITY
State CA
ZIP 94587
Accounting period End 12
Primary contact name CHRISTINE TAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTIN SCHULTZ
PRESIDENT, DIRECTOR
5707 SAN LEANDRO ST SUITE D
OAKLAND CA 94621

Officer/Director/Trustee Two

CHRISTINE TAI
TREASURER, DIRECTOR
213 STANFORD AVE
KENSINGTON CA 94708

Officer/Director/Trustee Three

CHARLES LEE
VICE PRESIDENT, DIRECTOR
2452 MEDALLION DRIVE
UNION CITY CA 94587

Officer/Director/Trustee Four

CLAUDIA BAZAN
SECRETARY, DIRECTOR
5707 SAN LEANDRO ST SUITE D
OAKLAND CA 94621

Officer/Director/Trustee Five

STEVEN JOHNSON
DIRECTOR
934 WARFIELD DR
OAKLAND CA 94610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 CHRISTINE TAI
Signature Title TREASURER
Signature Date 6/2/18

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