FORM 1023-EZ for NORTHERN CALIFORNIA CHAPTER OF CLMA

Field Data
EIN 84-3690626
Case Number EO-2020101-000041
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN CALIFORNIA CHAPTER OF CLMA
Organization’s Mailing Address 2814 SYLHOWE ROAD
City OAKLAND
State CA
ZIP 94602
Accounting period End 12
Primary contact name MARY N CLANCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANET BEASLEY-MARTINEZ
PRESIDENT
17 RAMONA ROAD
DANVILLE CA 94526

Officer/Director/Trustee Two

OLIVE ROMERO
PRESIDENT-ELECT
12 SUNNY ROAD
WALNUT CREEK CA 94502

Officer/Director/Trustee Three

MARY N CLANCY
TREASURER
2814 SYLHOWE ROAD
OAKLAND CA 94602

Officer/Director/Trustee Four

CASSANDRA BOYER
SECRETARY
213 LIVE OAK DRIVE
DANVILLE CA 94506

Officer/Director/Trustee Five

MICHAEL DACOCO
PAST PRESIDENT
1951 WEST MIDDLEFIELD DRIVE A314
TRACY CA 95337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2019
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: No
Religious: No
Educational: Yes
Scientific: Yes
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 MARY N CLANCY
Signature Title TREASURER
Signature Date 4/8/2020

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