FORM 1023-EZ for CHRYSALIS PICTURES

Field Data
EIN 81-3576828
Case Number EO-2017089-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRYSALIS PICTURES
Organization’s Mailing Address 259 NORTH MAR VISTA AVE SUITE 5
City PASADENA
State CA
ZIP 91106-5427
Accounting period End 12
Primary contact name MONICA QUINTANILLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA QUINTANILLA
CHAIRPERSON/ TREASURER
259 NORTH MAR VISTA AVE SUITE 5
PASADENA CA 91106-5427

Officer/Director/Trustee Two

ADAM FRIED
VICE CHAIRPERSON/ TREASURER
1138 GORDON STREET SUITE 3
LOS ANGELES CA 90036-9801

Officer/Director/Trustee Three

BRANDI FEEMSTER
COMMITTEE CHAIRPERSON
451 PHIL DRIVE
CLOVER SC 29710-9266

Officer/Director/Trustee Four

RAFAELLA BISCAYN
SECRETARY
430 S BURNSIDE AVENUE APT 38 2K
LOS ANGELES CA 90036-9801

Officer/Director/Trustee Five

SAMANTHA BOWLING
SECRETARY
2833 AVENEL ST
LOS ANGELES CA 90039-1531

Organization’s website WWW.CHRYSALISPICTURESPRODUCTIONS.COM
Organization’s email INFO@CHRYSALISPICTURESPRODUCTIONS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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