FORM 1023-EZ for HERM PENA PARAMEDIC FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-0988946 |
| Case Number | EO-2018325-000124 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HERM PENA PARAMEDIC FOUNDATION |
| Organization’s Mailing Address | 511 E SAN YSIDRO BLVD 4325 |
| City | SAN YSIDRO |
| State | CA |
| ZIP | 92173 |
| Accounting period End | 12 |
| Primary contact name | ROSIE PENA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROSIE PENA
CEO
511 E SAN YSIDRO BLVD 4325
SAN YSIDRO CA 95127
Officer/Director/Trustee Two
MARISA PENA
VICE PRESIDENT
511 E SAN YSIDRO BLVD 5306
SAN YSIDRO CA 95127
Officer/Director/Trustee Three
VICKY CORDOBA
TREASURER
1831 E TULSA ST
CHANDLER AZ 85225
Officer/Director/Trustee Four
ELIAS PENA
OFFICER
87 MONTE VERANO CT
SAN JOSE CA 95116
Officer/Director/Trustee Five
INA ARRANAGA
OFFICER
2100 LIME WOOD DR
SAN JOSE CA 95132
| Organization’s website | |
|---|---|
| Organization’s email | HERMPENAPARAMEDICFOUNDATION@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/8/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M11 - Single Organization Support |
| 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 | ROSIE PENA |
| Signature Title | CEO |
| Signature Date | 11/19/18 |
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