FORM 1023-EZ for FUSION COMMUNITY SERVICES INC

Field Data
EIN 82-3600051
Case Number EO-2018334-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUSION COMMUNITY SERVICES INC
Organization’s Mailing Address 1324 N POINSETTIA PLACE SUITE 104
City LOS ANGELES
State CA
ZIP 90046
Accounting period End 12
Primary contact name COURTNEY LOCKRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMERITA FLORES
BOARD CHAIR
6700 WILCOX AVE APT D
BELL CA 90201

Officer/Director/Trustee Two

KENNETH ROBINSON
TREASURER
37833 SWEET MAGNOLIA WAY
MURRIETA CA 92563

Officer/Director/Trustee Three

DOREEN PETERS
SECRETARY
39217 BOTTICELLI DRIVE
PALMDALE CA 93551

Officer/Director/Trustee Four

COURTNEY LOCKRIDGE
EXECUTIVE DIRECTOR
1324 N POINSETTIA PLACE UNIT 104
LOS ANGELES CA 90046

Organization’s website WWW.FUSIONISLIFE.ORG
Organization’s email FUSIONCOMMUNITYSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COURTNEY LOCKRIDGE
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/27/18

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