FORM 1023-EZ for LADERA COMMUNITY ASSOCIATION

Field Data
EIN 94-2772555
Case Number EO-2015223-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADERA COMMUNITY ASSOCIATION
Organization’s Mailing Address 3130 ALPINE ROAD BOX 288-123
City PORTOLA VALLEY
State CA
ZIP 94028-7549
Accounting period End 12
Primary contact name MIKE DINEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWIN BERKOWITZ
PRESIDENT, DIRECTOR
121 ERICA WAY
PORTOLA VALLEY CA 94028

Officer/Director/Trustee Two

MICHAEL DINEEN
VICE PRESIDENT/TREASURER, DIRECTOR
171 MIMOSA WAY
PORTOLA VALLEY CA 94028

Officer/Director/Trustee Three

KATHERINE BAILEY
DIRECTOR
550 LA MESA DR
PORTOLA VALLEY CA 94028

Officer/Director/Trustee Four

MARK THANASSI
DIRECTOR
120 ERICA WAY
PORTOLA VALLEY CA 94028

Officer/Director/Trustee Five

LARRY LAI
DIRECTOR
231 S BALSAMINA WAY
PORTOLA VALLEY CA 94028

Organization’s website HTTP://WWW.LADERAONLINE.ORG
Organization’s email MTDINEEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/1999
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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