FORM 1023-EZ for 1 UNITED GRAND LODGE & CHAPTER INC

Field Data
EIN 85-1867760
Case Number EO-2021189-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1 UNITED GRAND LODGE & CHAPTER INC
Organization’s Mailing Address 5127 TOYON COURT
City ANTIOCH
State CA
ZIP 94531-8424
Accounting period End 12
Primary contact name CECIL BOOKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CECIL BOOKER
PRESIDENT
5127 TOYON COURT
ANTIOCH CA 89146-1314

Officer/Director/Trustee Two

KEVIN RACHAL
EXECUTIVE DIRECTOR
12915 GRAMERCY PLACE
GARDENA CA 90249-1807

Officer/Director/Trustee Three

WARREN MAGNESS
TREASURER
17210 WALL STREET
CARSON CA 90746-1165

Officer/Director/Trustee Four

YUSEF SHABAZZ
SECRETARY
321 WEST TERRACE STREET
ALTADENA CA 91001-4707

Officer/Director/Trustee Five

YVETTE WARREN
EXECUTIVE ASSISTANT
2711 SELLAND AVE
FRESNO CA 93722-5257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CECIL BOOKER
Signature Title PRESIDENT
Signature Date 7/7/2021

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