FORM 1023-EZ for LIBERTY CHILD

Field Data
EIN 85-1306981
Case Number EO-2020210-000649
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY CHILD
Organization’s Mailing Address 4879 VOGELSANG DRIVE
City SACRAMENTO
State CA
ZIP 95842
Accounting period End 12
Primary contact name TERRY DECOSSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY DECOSSE
PRESIDENT/DIRECTOR
4879 VOGELSANG DRIVE
SACRAMENTO CA 95842

Officer/Director/Trustee Two

JACKLYN RUTH
TREASURER/DIRECTOR
6125 GRAYSTONE AVENUE
CITRUS HEIGHTS CA 95621

Officer/Director/Trustee Three

BRENDA PALM
SECRETARY/DIRECTOR
1725 GUILDFORD WAY
PLUMAS LAKE CA 95961

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TERRY DECOSSE
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/24/2020

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