FORM 1023-EZ for BOOKWORM LIBRARY

Field Data
EIN 85-3837833
Case Number EO-2020339-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOOKWORM LIBRARY
Organization’s Mailing Address 1468 10TH STREET
City BERKELEY
State CA
ZIP 94710
Accounting period End 12
Primary contact name CHRISTINE MIKSZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE MIKSZA
EXECUTIVE DIRECTOR
1468 10TH STREET
BERKELEY CA 94710

Officer/Director/Trustee Two

JESSICA ZONARICH
TREASURER
1468 10TH STREET
BERKELEY CA 94710

Officer/Director/Trustee Three

CHRISTINE MIKSZA
EXECUTIVE DIRECTOR AND CHAIR OF THE
1468 10TH STREET
BERKELEY CA 94710

Officer/Director/Trustee Four

DAVID MIKSZA
OFFICER
1468 10TH STREET
BERKELEY CA 94710

Officer/Director/Trustee Five

CLARA MIKSZA
OFFICER
1468 10TH STREET
BERKELEY CA 94710

Organization’s website
Organization’s email ccmiksza@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 CHRISTINE MIKSZA
Signature Title EXECUTIVE DIRECTOR AND CHAIR OF THE
Signature Date 11/18/2020

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