FORM 1023-EZ for BELOVED ONES

Field Data
EIN 27-2547368
Case Number EO-2016256-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELOVED ONES
Organization’s Mailing Address 21338 79TH STREET
City CALIFORNIA CIGTY
State CA
ZIP 93505
Accounting period End 4
Primary contact name THANDI SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THANDI SMITH
DIRECTOR
21338 79TH STREET
CALIFORNIA CITY CA 93505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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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