FORM 1023-EZ for CHICAS MOM INC

Field Data
EIN 81-3889620
Case Number EO-2016266-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICAS MOM INC
Organization’s Mailing Address 541 NORTH MACLAY AVE STE 103
City SAN FERNANDO
State CA
ZIP 91340
Accounting period End 12
Primary contact name MARIBEL GARCIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIBEL GARCIA
PRESIDENT
13080 DRONFIELD AVE 7
SYLMAR CA 91342

Officer/Director/Trustee Two

GLADYS AYALA
SECRETARY
13080 DRONFIELD AVE 7
SYLMAR CA 91342

Officer/Director/Trustee Three

XOCHITL RAMIREZ
TREASURER
13080 DRONFIELD AVE 7
SYLMAR CA 91342

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
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 Yes
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
Signature Title
Signature Date

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