FORM 1023-EZ for ASOCIACION GUADALUPANAS

Field Data
EIN 91-1879961
Case Number EO-2016321-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASOCIACION GUADALUPANAS
Organization’s Mailing Address 772 CHAMBERLAIN STREET
City PLACERVILLE
State CA
ZIP 95667
Accounting period End 12
Primary contact name JEFF FRENCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULINE GRADY
CO-PRESIDENT
2910 SOMMER STAR ROAD
PLACERVILLE CA 95667

Officer/Director/Trustee Two

JACLYN HAGEN
CO-PRESIDENT
5696 DOLOMITE DRIVE
EL DORADO CA 95623

Officer/Director/Trustee Three

ROSE FRENCH
TREASURER
772 CHAMBERLAIN STREET
PLACERVILE CA 95667

Officer/Director/Trustee Four

JEFF FRENCH
BOARD MEMBER
772 CHAMBERLAIN STREET
PLACERVILE CA 95667

Organization’s website NA
Organization’s email JEFF@ALTAVISTASERVICES.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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