FORM 1023-EZ for SAN JOAQUIN VALLEY LAPIDARY SOCIETY

Field Data
EIN 27-1635072
Case Number EO-2018204-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN JOAQUIN VALLEY LAPIDARY SOCIETY
Organization’s Mailing Address PO BOX 5411
City BAKERSFIELD
State CA
ZIP 93388-5411
Accounting period End 12
Primary contact name BERNIE BENTSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNIE BENTSEN
PRESIDENT
3708 LAVERNE AVE
BAKERSFIELD CA 93309-4124

Officer/Director/Trustee Two

DONNA RODRIGUEZ
VICE PRESIDENT
1629 9TH AVE
DELANO CA 93215-3052

Officer/Director/Trustee Three

ANNA WINTER
TREASURER
1809 RENCH RD
BAKERSFIELD CA 93308-2245

Officer/Director/Trustee Four

BARBARA LOUDEN
SECRETARY
102 LA MESA DR
BAKERSFIELD CA 93305-2922

Officer/Director/Trustee Five

ELIZABETH BARNHART
DIRECTOR
6004 PILAR WAY
BAKERSFIELD CA 93306-7421

Organization’s website SANJOAQUINVALLEYLAPIDARYSOCIETY@GMAIL.COM
Organization’s email BENTSENBAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/09
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BERNIE BENTSEN
Signature Title PRESIDENT
Signature Date 7/20/18

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