FORM 1023-EZ for OUR BROTHERLY LOVE ATS

Field Data
EIN 85-3838195
Case Number EO-2021103-000496
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR BROTHERLY LOVE ATS
Organization’s Mailing Address 12793 MOSAIC DRIVE
City RANCHO CUCAMONGA
State CA
ZIP 91739
Accounting period End 12
Primary contact name MARESLYN SIHOTANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WATY PURBA-SIHOTANG
PRESIDENT
12793 MOSAIC DRIVE
RANCHO CUCAMONGA CA 91739

Officer/Director/Trustee Two

MARESLYN SIHOTANG
TREAS / SEC / DIRECTOR
12793 MOSAIC DRIVE
RANCHO CUCAMONGA CA 91739

Officer/Director/Trustee Three

AWSJOSMAR AGUILAR
DIRECTOR
7747 EDISON AVENUE
FONTANA CA 92336

Officer/Director/Trustee Four

ARSEN SIHOTANG
DIRECTOR
7747 EDISON AVENUE
FONTANA CA 92336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARESLYN SIHOTANG
Signature Title TREAS / SEC / DIRECTOR
Signature Date 4/6/2021

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