FORM 1023-EZ for GABE BOUCHARD FOUNDATION

Field Data
EIN 81-2084863
Case Number EO-2016230-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GABE BOUCHARD FOUNDATION
Organization’s Mailing Address 44 VALLEY CIRCLE
City MILL VALLEY
State CA
ZIP 94941
Accounting period End 12
Primary contact name SUSAN GORDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN GORDON
PRESIDENT, CHAIRPERSON
44 VALLEY CIRCLE
MILL VALLEY CA 94941

Officer/Director/Trustee Two

DON CASEY
VICE PRESIDENT, DIRECTOR
734 A STREET
SAN RAFAEL CA 94901

Officer/Director/Trustee Three

CARLA MOCERI
TREASURER, DIRECTOR
245 BAYHILLS DR
SAN RAFAEL CA 94903

Officer/Director/Trustee Four

CASSANDRA FLIPPER
SECRETARY
52 ELIZABETH CIRCLE
GREENBRAE CA 94904

Organization’s website WWW.GABEBOUCHARDFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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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