FORM 1023-EZ for CCSEP FOUNDATION

Field Data
EIN 46-3133930
Case Number EO-2017312-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CCSEP FOUNDATION
Organization’s Mailing Address BOX 26691
City LOS ANGELES
State CA
ZIP 90026
Accounting period End 12
Primary contact name MICHAEL OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP MURPHY
PRESIDENT
1391 SUTHERLAND ST
LOS ANGELES CA 90026

Officer/Director/Trustee Two

DANIEL REZA
VICE PRESIDENT
1832 BOUETT ST
LOS ANGELES CA 90012

Officer/Director/Trustee Three

MIKE KOGAN
TREASURER
1301 W CALUMET AVE
LOS ANGELES CA 90026

Officer/Director/Trustee Four

MICHAEL OBRIEN
SECRETARY
1633 MORTON AVE APT 8
LOS ANGELES CA 90026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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