FORM 1023-EZ for CONEJO COMMUNITY OUTREACH

Field Data
EIN 47-5486486
Case Number EO-2016067-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONEJO COMMUNITY OUTREACH
Organization’s Mailing Address 3062 WAUNETA STREET
City NEWBURY PARK
State CA
ZIP 91320
Accounting period End 9
Primary contact name ANDREA RASKIND YUSIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA RASKIND YUSIM
PRESIDENT
3062 WAUNETA STREET
NEWBURY PARK CA 91320

Officer/Director/Trustee Two

LAUREN SHAFFER
TREASURER
3634 SPANISH GATE
NEWBURY PARK CA 91320

Officer/Director/Trustee Three

RENA ROBLES
SECRETARY
3786 SAN NICOLAS
NEWBURY PARK CA 91320

Officer/Director/Trustee Four

JESSICA WEIHE
VICE PRESIDENT
316 BAXTER
NEWBURY PARK CA 91320

Officer/Director/Trustee Five

SARAH ROLFE
COMMUNITY RELATIONS DIRECTOR
13481 LAURELHURST ROAD
MOORPARK CA 93021

Organization’s website WWW.CONEJOCOMMUNITYOUTREACH.COM
Organization’s email CONEJOCOMMUNITYTHANKSGIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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