FORM 1023-EZ for STEPHENIE MARIE FOUNDATION

Field Data
EIN 85-3815870
Case Number EO-2021019-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEPHENIE MARIE FOUNDATION
Organization’s Mailing Address 9029 AIRPORT BLVD UNIT 881202
City LOS ANGELES
State CA
ZIP 90009
Accounting period End 12
Primary contact name TOURIA MOBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHENIE HALL
EXECUTIVE DIRECTOR
15018 PIUMA AVE
NORWALK CA 90650

Officer/Director/Trustee Two

BENETTA NEALY
PRESIDENT
15018 PIUMA AVE
NORWALK CA 90650

Officer/Director/Trustee Three

DWAYNE SHIPP
SECRETARY
1754 W WILLITS
SANTA ANA CA 92703

Officer/Director/Trustee Four

MARK NEALY
TREASURER
15018 PIUMA AVE
NORWALK CA 90650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2020
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: 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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHENIE HALL
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/20/2020

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