FORM 1023-EZ for COMMUNITY VILLAGES

Field Data
EIN 85-1932297
Case Number EO-2021120-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY VILLAGES
Organization’s Mailing Address 29 ORINDA WAY 894
City ORINDA
State CA
ZIP 94563
Accounting period End 5
Primary contact name TANYA JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA JACOBS
PRES & SEC & EXEC DIR
5890 OLINDA RD
EL SOBRANTE CA 94803

Officer/Director/Trustee Two

D NICOLE TANGEN
TREASURER
3204 STONE THROW LN APT 1
DURHAM NC 27713

Organization’s website
Organization’s email COMMUNITYVILLAGES18@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 Yes
Donation of funds Yes
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 TANYA JACOBS
Signature Title PRES & SEC & EXEC DIR
Signature Date 4/28/2021

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