FORM 1023-EZ for MATTOLE OUTDOORSMEN AND CONSERVATIONISTS

Field Data
EIN 86-2550392
Case Number EO-2021097-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATTOLE OUTDOORSMEN AND CONSERVATIONISTS
Organization’s Mailing Address PO BOX 124
City PETROLIA
State CA
ZIP 95558
Accounting period End 12
Primary contact name ABIGAIL QUEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK QUEEN
PRESIDENT OF THE BOARD
2660 LIGHTHOUSE ROAD
PETROLIA CA 95558

Officer/Director/Trustee Two

ABIGAIL QUEEN
SECRETARY
2660 LIGHTHOUSE ROAD
PETROLIA CA 95558

Officer/Director/Trustee Three

KELTON CHAMBERS
TREASURER, DIRECTOR
225 TRIDENT LANE
FERNDALE CA 95536

Officer/Director/Trustee Four

JOE ZANONE
DIRECTOR
23195 MATTOLE ROAD
FERNDALE CA 95536

Officer/Director/Trustee Five

JEFF HOALTON
DIRECTOR
224 TRIDENT LANE
FERNDALE CA 95536

Organization’s website WWW.MATTOLE-CONSERVATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
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 ABIGAIL QUEEN
Signature Title SECRETARY
Signature Date 3/11/2021

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