FORM 1023-EZ for PREM-MAA INTERNATIONAL

Field Data
EIN 82-4309431
Case Number EO-2018128-000880
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREM-MAA INTERNATIONAL
Organization’s Mailing Address 4538 FIRESIDE DR
City TURLOCK
State CA
ZIP 95382
Accounting period End 12
Primary contact name SCOTT JETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUTUM WATTS
CHAIRMAN
4538 FIRESIDE DR
TURLOCK CA 95382

Officer/Director/Trustee Two

DAWN MADSEN
SECRETARY
1305 SYCAMORE ST
TURLOCK CA 95380

Officer/Director/Trustee Three

JOEL BLOMENKAMP
TREASURER
4538 FIRESIDE DR
TURLOCK CA 95382

Organization’s website WWW.PREMMAA.ORG
Organization’s email JBLOMENKAMO@STOCKTONUSD.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R24 - Women's Rights
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOEL BLOMENKAMP
Signature Title TREASURER
Signature Date 5/2/18

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