FORM 1023-EZ for NCCPL

Field Data
EIN 84-5025118
Case Number EO-2020113-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NCCPL
Organization’s Mailing Address 1791 ARASTRADERO ROAD
City PALO ALTO
State CA
ZIP 94304-1337
Accounting period End 12
Primary contact name SCOTT HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT HINES
SECRETARY/TREASURER
1791 ARASTRADERO ROAD
PALO ALTO CA 94304-1337

Officer/Director/Trustee Two

JASON STRAUSS
CHIEF EXECUTIVE OFFICER
2728 DURANT AVENUE
BERKELEY CA 94704-1725

Officer/Director/Trustee Three

KELLY SUNDIN
DIRECTOR
2728 DURANT AVENUE
BERKELEY CA 94704-1725

Officer/Director/Trustee Four

ROB GALL
DIRECTOR
2728 DURANT AVENUE
BERKELEY CA 94704-1725

Officer/Director/Trustee Five

LISE M DYCKMAN
DIRECTOR
2728 DURANT AVENUE
BERKELEY CA 94704-1725

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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 SCOTT HINES
Signature Title SECRETARY/TREASURER
Signature Date 4/20/2020

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