FORM 1023-EZ for OC HOME CARE FOUNDATION

Field Data
EIN 83-1140272
Case Number EO-2019220-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OC HOME CARE FOUNDATION
Organization’s Mailing Address 23201 LAKE CENTER DRIVE STE 201
City LAKE FOREST
State CA
ZIP 92630
Accounting period End 12
Primary contact name LOIDA ANGELES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOIDA ANGELES
CHIEF EXEC OFFICER
23201 LAKE FOREST DRIVE STE 201
LAKE FOREST CA 92630

Officer/Director/Trustee Two

MARINELA ANGELES
SECRETARY
23201 LAKE FOREST DRIVE STE 201
LAKE FOREST CA 92630

Officer/Director/Trustee Three

RAPHAEL ANGELES
CFO
23201 LAKE CENTER DRIVE STE 201
LAKE FOREST CA 92630

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 LOIDA ANGELES
Signature Title CHIEF EXEC OFFICER
Signature Date 8/6/19

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