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SCMTD February 2004 Board of Directors Agendas - Santa Cruz ...

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c-s<br />

MAIL TO:<br />

Registry <strong>of</strong> Charitable Trusts<br />

P.O. Box 903447<br />

Sacramento, CA 94293-4470<br />

Telephone: (916) 4452021<br />

WEBSITE ADDRESS:<br />

http:/lag.ca.govlcharitiesl<br />

REGISTRATION/RENEWAL FEE REPORT<br />

TO ATTORNEY GENERAL OF CALlFORNlA<br />

Sections 12586 and 12587, Califomia Govemmmt Code<br />

11 Cal. Code Regs. Sections 3ll and 3l2<br />

Failurn to submit this repotI annually no later than four month and fifteen days after<br />

the end <strong>of</strong> the organizabon’s accounting period re5uHinthlosoitax<br />

exemption and the assessment <strong>of</strong> a minimum tax 07$800, plus interest, an&or tines<br />

or filing penalties as defined in Government Code Section 12SE.l.<br />

RRF-1 EXTENSIONS WILL NOT BE GRANTED<br />

I<br />

Enter State Charity Registration Number, Name, and Address <strong>of</strong> Organization: Check if:<br />

State Charity Registration Number ct065779<br />

<strong>Santa</strong> <strong>Cruz</strong> Civic Improvement Corp<br />

Name <strong>of</strong> Organization<br />

370 Encinal Street #lOO<br />

Address (Number and Street)<br />

<strong>Santa</strong> <strong>Cruz</strong>, CA 95060<br />

cjty or Town<br />

state ZIP Code<br />

PART A - ACTIVITIES<br />

Change <strong>of</strong> address<br />

El Amended report<br />

Corporate or Organization No. 77-0125662<br />

Federal Employer ID No. 77-0125662<br />

I<br />

Yes No<br />

1 During your most recent full accounting period did your gross receipts or total assets equal $~o(),cM)o or more? npq<br />

Note:<br />

If the answer is yes, you are required by Tie 11 <strong>of</strong> the California Code <strong>of</strong> Regulations, Sections 311 and 312, to attach a check in<br />

the amount <strong>of</strong> $U.OO to this report Make check payable to Department <strong>of</strong> Justice.<br />

2 For your most recent full accounting period (beginning 7/01/02 ending 6/30/03) list:<br />

Gross receipts $ 0. Total assets $ 0. Actual q Estimated q<br />

PART B - STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT<br />

g period, was there any theft embezzlement, diversion or misuse o<br />

6 During this re orting period, did the organization receive any governmental funding? If so, provide an attachment listing<br />

the name <strong>of</strong> tiie agency, mailing address, contact person, and telephone number.<br />

7 During this reporting period, did the organization hold a raffle for charitable purposes? If ‘yes,’ provide an attachment<br />

indicating the number <strong>of</strong> raffles and the date(s) they occurred.<br />

8 Does the organization conduct a vehicle donation program? If ‘yes,’ provide an attachment indicating whether the program is<br />

operated by the charity or whether the organization contracts with a commercial fund-raiser.<br />

nN<br />

njq<br />

npq<br />

Organization’s area code and telephone number 831-426-6080<br />

3rganization’s e-mail address<br />

er penalty <strong>of</strong> perjury that I have examined #is report, including accompanying documents, and to the best <strong>of</strong> my knowledge<br />

me7g complete’ &-s\&, A &&~. &ul~xcR\ b\auqar W’3-3103<br />

ignature <strong>of</strong> authorized <strong>of</strong>ficer Printed Name Title d Date<br />

Form ct - RRF-1 (REV 12/2002) cIA%w3OlL 01/06/03

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