FORM 1023-EZ for LAFAYETTE HOMELESS AND COMMUNITY SERVICES INC

Field Data
EIN 77-0553466
Case Number EO-2017195-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAFAYETTE HOMELESS AND COMMUNITY SERVICES INC
Organization’s Mailing Address 23811 WASHINGTON AVE C110 - 210
City MURRIETA
State CA
ZIP 92562
Accounting period End 12
Primary contact name CHARLOTTE QUARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLOTTE QUARLES
DIRECTOR
23811 WASHINGTON AVE C110 - 210
MURRIETA CA 92562-2277

Officer/Director/Trustee Two

TANISHA DORSEY
CHIEF FINANCIAL OFFICER
23382 BLUE GARDENIA LN
MURRIETA CA 92562-2277

Officer/Director/Trustee Three

TAMIKA SEABROOKS
CHIEF SECRETARY OFFICER
8422 BLOOMINGTON DR
SACRAMENTO CA 95828

Organization’s website HTTP://LOVEHEALSFAMILIES.WEEBLY.COM
Organization’s email LHCSINC@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2000
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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
Signature Title
Signature Date

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