FORM 1023-EZ for HOUSE OF PALM FOUNDATION INC

Field Data
EIN 85-2034030
Case Number EO-2020209-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE OF PALM FOUNDATION INC
Organization’s Mailing Address 16920 BASELINE AVE
City FONTANA
State CA
ZIP 92336-2101
Accounting period End 12
Primary contact name MARK MCKAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MCKAY
CEO
16920 BASELINE AVE
FONTANA CA 92336-2101

Officer/Director/Trustee Two

CLAUDETTE MAPPS
SECRETARY
16918 BASELINE AVE
FONTANA CA 92336-2101

Officer/Director/Trustee Three

JERRY MCKAY
TREASURER
16920 BASELINE AVE
FONTANA CA 92336-2101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 MARK MCKAY
Signature Title CEO
Signature Date 7/20/2020

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