FORM 1023-EZ for AMIGOS DE CASA SIMEON

Field Data
EIN 81-4003207
Case Number EO-2017271-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMIGOS DE CASA SIMEON
Organization’s Mailing Address 6516 FAIRFIELD ST
City LOS ANGELES
State CA
ZIP 90022
Accounting period End 12
Primary contact name CARLOS JIMENEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS JIMENEZ
PRESIDENT
6516 FAIRFIELD ST
LOS ANGELES CA 90022

Officer/Director/Trustee Two

RUBEN DIAZ SALAZAR
VICE PRESIDENT
3927 W 77TH ST APT 7
LOS ANGELES CA 90003

Officer/Director/Trustee Three

M BLANCA CHAVEZ
SECRETARY
924 S HOBART BLVD APT 605
LOS ANGELES CA 90006

Officer/Director/Trustee Four

MARIA CORONA JIMENEZ
TREASURER
6516 FAIRFIELD ST
LOS ANGELES CA 90022

Officer/Director/Trustee Five

CRISTINA VALDEZ AVILA
HISTORIAN
3927 W 77TH ST APT 7
LOS ANGELES CA 90003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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