FORM 1023-EZ for PRISCILLA MONGE FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-1589255 |
| Case Number | EO-2018260-000359 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PRISCILLA MONGE FOUNDATION |
| Organization’s Mailing Address | 3701 ARDILLA AVENUE |
| City | BALDWIN PARK |
| State | CA |
| ZIP | 91706 |
| Accounting period End | 12 |
| Primary contact name | JORGE ALBERTO MONGE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JORGE ALBERTO MONGE
PRESIDENT/CEO
3701 ARDILLA AVENUE
BALDWIN PARK CA 91706
Officer/Director/Trustee Two
JENNIFER MONGE JIMENEZ
CHIEF FINANCIAL OFFICER
565 ELM COTTAGE COURT
CAMARILLO CA 93012
Officer/Director/Trustee Three
ELIDA GARCIA
CHAIRWOMAN
1116 S GRETTA AVENUE
WEST COVINA CA 91790
Officer/Director/Trustee Four
LAURA LEE NIENHOUSE
BOARD MEMBER
158 CINNAMON RIDGE RD
BREA CA 92821
Officer/Director/Trustee Five
CESAR JIMENEZ
BOARD MEMBER
565 ELM COTTAGE COURT
CAMARILLO CA 93012
| Organization’s website | WWW.PRISCILLAMONGEFOUNDATION.ORG |
|---|---|
| Organization’s email | INFO@PRISCILLAMONGEFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/19/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E86 - Patient Services - Entertainment, Recreation |
| 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 | JORGE ALBERTO MONGE |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 9/13/18 |
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