FORM 1023-EZ for ABADA-CAPOEIRA MARIN

Field Data
EIN 83-1373598
Case Number EO-2019136-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ABADA-CAPOEIRA MARIN
Organization’s Mailing Address 343 NORTH ALMENAR DRIVE
City GREENBRAE
State CA
ZIP 94904
Accounting period End 12
Primary contact name ROBERT WILLOUGHBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WILLOUGHBY
PRESIDENT
343 NORTH ALMENAR DRIVE
GREENBRAE CA 94904

Officer/Director/Trustee Two

JASON LAFFER
SECRETARY
585 WISTERIA WAY
SAN RAFAEL CA 94903

Officer/Director/Trustee Three

INGRID HANEL
TREASURER
1174 ALTA MESA
MORAGA CA 94556

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 ROBERT WILLOUGHBY
Signature Title PRESIDENT
Signature Date 5/14/19

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