FORM 1023-EZ for LOS PRIMEROS STRUCTURED SCHOOL EDUCATIONAL FOUNDATION

Field Data
EIN 77-0295768
Case Number EO-2020168-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOS PRIMEROS STRUCTURED SCHOOL EDUCATIONAL FOUNDATION
Organization’s Mailing Address 1555 KENDALL AVENUE
City CAMARILLO
State CA
ZIP 93010
Accounting period End 7
Primary contact name TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER MOISE
PRESIDENT
2277 DERBY STREET
CAMARILLO CA 93010

Officer/Director/Trustee Two

JEANINE CLAY
SECRETARY
3385 CALLE CITA
CAMARILLO CA 93010

Officer/Director/Trustee Three

ANDI CHANEY
TREASURER
215 GENEIVE CIRCLE
CAMARILLO CA 93010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/1991
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
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 Yes
Correctness Declaration Yes
Signature Name AMBER MOISE
Signature Title PRESIDENT
Signature Date 6/14/2020

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