FORM 1023-EZ for WOMEN IN HOMELAND SECURITY LOS ANGELES

Field Data
EIN 82-0654913
Case Number EO-2019038-000980
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOMEN IN HOMELAND SECURITY LOS ANGELES
Organization’s Mailing Address 3655 TORRANCE BLVD SUITE 430
City TORRANCE
State CA
ZIP 90503
Accounting period End 12
Primary contact name RENEE MICHELLE GROBLEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE MICHELLE CONSTANT GROBLEWSKI
PRESIDENT
3655 TORRANCE BLVD SUITE 430
TORRANCE CA 90503

Officer/Director/Trustee Two

DIANA MANZANO-GARCIA
TREASURER
13700 LA MIRADA
LA MIRADA CA 90638

Officer/Director/Trustee Three

ARPEN SHADKAMYAN
MEMBERSHIP DIRECTOR
UCLA EHS-OEM 501 WESTWOOD PLAZA
LOS ANGELES CA 90095

Officer/Director/Trustee Four

MONA BONTTY
PROGRAMS DIRECTOR
2387 STARFALL CIRCLE
LA VERNE CA 91750

Officer/Director/Trustee Five

LORRAINE SCHNEIDER
SECRETARY
UCLA EHS-OEM 501 WESTWOOD PLAZA
LOS ANGELES CA 90095

Organization’s website WWW.WHSSOCAL.ORG
Organization’s email ADMIN@WHSSOCAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
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 No
Correctness Declaration Yes
Signature Name RENEE MICHELLE CONSTANT GROBLEWSKI
Signature Title PRESIDENT
Signature Date 1/25/19

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