Caa RRF 2004
Caa RRF 2004
Caa RRF 2004
IN
MAIL TO:
Registiy of Charitable Trusts
P.O. Box 903447
Sacramento, CA 94203-4470
Telephone: (916) 445-2021
WEBSITE ADDRESS:
http://ag.ca:gov/charities/
IRS FORM 930 EXTENSIONS WILL BE HONORED. PLEASE SUBMIT WITH RRF-1 ALL
IRS EXTENSION REQUESTS AND, WHERE APPLICABLE. IRS EXTENSION APPROVALS.
Check if:
State Charity Registration Number
005666
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Change of address
Amended report
Name of Organization
PO BOX 2271
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D-0157265
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State-
ZIP Code
94-1012517
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PART A - ACTIVITIES
1
During your most recent full accountina period did your aross receipts or total assets equal $100,000 or more?
Note:
No
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If the answer is yes, you are required by Title 11 of the California Code of Regulations, Sections 311 and 312, to attach a check in
the amount of $25.00 to this report. Make check payable to Department of Justice.
1/01/04
Yes
Gross receipts $
r-
940, 63.7.
. . Total assets
12/31/04
1,001, 1 0 6 .
ending
) list:
If you answer 'yes' to any of the questions below, you must attach a separate sheet providing an explanation and details for each
'yes' response. Please review RRF-I instructions for information required.
Yes
During this reporting period, were there any contracts, loans, leases or other.financial transactions between the
organization and any officer, director or trustee thereof either directly or with an entity in which any such officer,
director or trustee had any financial interest?
During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable
property or funds?
Durina this reporting period, did non-program expenditures exceed 50% of gross revenues?
During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a
Form 4720 with the Internal Revenue Service, attach a copy.
During this reporting period, were the services of a professional fundraiser or fundraising counsel used? If 'yes,' provide
an attachment listing the name, address, and telephone number of the service provider.
During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing
the name of tne agency, mailing address, contact person, and telephone number.
During this reporting period, did the organization hold a raffle for charitable purposes? If 'yes,' provide an attachment
indicating the number of raffles and the date(s) they occurred.
Does the organization conduct a vehicle donation program? If 'yes,' provide an attachment indicating whether the program is
operated by the charity or whether the organization contracts with a commercial fundraiser.
(831)
No
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624-6176
Printed
ed Name
CAVA9801L
01/18/05
Title
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DECEIVED
MAY 1 7 2005
Attorney General's