FORM 1023-EZ for PHEONIX EMERGENCY EVACUATION RESPONSE

Field Data
EIN 82-3391174
Case Number EO-2018094-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHEONIX EMERGENCY EVACUATION RESPONSE
Organization’s Mailing Address 145 TOWN CENTER PMB 271
City CORTE MADERA
State CA
ZIP 94925
Accounting period End 12
Primary contact name KEELEY LOCKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM GARZA
CEO
986 KEEGAN DR
SANTA ROSA CA 95407

Officer/Director/Trustee Two

KEELEY LOCKE
CFO
15 SKYLARK DR-22
LARKSPUR CA 94939

Officer/Director/Trustee Three

GD RANDALL PACKARD
SECRETARY
575 PARK GLENN DR
WINDSOR CA 95492

Organization’s website PEERSONOMA.ORG
Organization’s email WILLGARZA@PEERSONOMA.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M19 - Nonmonetary Support N.E.C.
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 WILLIAM GARZA
Signature Title CEO
Signature Date 4/2/18

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