FORM 1023-EZ for PARENTS OF THE SUTTER HIGH SCHOOL SHOTGUN SHOOTING TEAM

Field Data
EIN 86-1389885
Case Number EO-2021064-001643
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARENTS OF THE SUTTER HIGH SCHOOL SHOTGUN SHOOTING TEAM
Organization’s Mailing Address 2665 ACACIA AVENUE
City SUTTER
State CA
ZIP 95982
Accounting period End 12
Primary contact name DAVE SAMSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE SAMSON
PRESIDENT
2665 ACACIA AVENUE
SUTTER CA 95982

Officer/Director/Trustee Two

JIM LANG
TREASURER
791 REGENT LOOP
YUBA CITY CA 95991

Officer/Director/Trustee Three

JEFF HERBERT
DIRECTOR
3394 ALICIA COURT
YUBA CITY CA 95993

Officer/Director/Trustee Four

CHUCK HARRIS
DIRECTOR
3265 STONEGATE DR
YUBA CITY CA 95993

Officer/Director/Trustee Five

JODIE KELLER
DIRECTOR
5272 A CLARK ROAD
LIVE OAK CA 95953

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 DAVE SAMSON
Signature Title PRESIDENT
Signature Date 1/12/2021

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