FORM 1023-EZ for MELANOMA ANGEL NETWORK INC

Field Data
EIN 83-0963786
Case Number EO-2018191-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELANOMA ANGEL NETWORK INC
Organization’s Mailing Address 11571 NEBRASKA AVENUE SUITE 1
City LOS ANGELES
State CA
ZIP 90025
Accounting period End 6
Primary contact name TYLER HALSTEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYLER HALSTEAD
PRESIDENT
11571 NEBRASKA AVENUE UNIT 1
LOS ANGELES CA 90025

Officer/Director/Trustee Two

TRICIA HALSTEAD
SECRETARY
19847 INVERNESS LANE
HUNTINGTON BEACH CA 92646

Officer/Director/Trustee Three

JAY MOORE
TREASURER
620 BROADWAY
VENICE CA 90291

Organization’s website WWW.MELANOMAANGELNETWORK.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 TYLER HALSTEAD
Signature Title PRESIDENT
Signature Date 7/8/18

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