FORM 1023-EZ for CUSH FOUNDATION

Field Data
EIN 43-3832547
Case Number EO-2021152-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUSH FOUNDATION
Organization’s Mailing Address 2343 N SAN ANTONIO AVEUNE
City POMONA
State CA
ZIP 91767
Accounting period End 12
Primary contact name GLORIA PRENTICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLORIA PRENTICE
PRESIDENT
19 HIDDEN VALLEY RD
POMONA CA 91766

Officer/Director/Trustee Two

FLOYD JOHNSON
V P TREASURER
3052 BARTRAM ST
POMONA CA 91767

Officer/Director/Trustee Three

LONETTIA SPARKS
SECRETARY
351 S ANNAPOLIS AVE
CLARMONT CA 91711

Officer/Director/Trustee Four

SAMUEL THARPE
MEMBER
1849 YORBA DRIVE
POMONA CA 91768

Officer/Director/Trustee Five

HUMBERTO NAVA
MEMBER
P O BOX 2403
POMONA CA 91769

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 GLORIA PRENTICE
Signature Title PRESIDENT
Signature Date 5/27/2021
EIN 43-3832547
Case Number EO-2017320-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUSH FOUNDATION
Organization’s Mailing Address 2342 N SAN ANTONIO AVENUE
City POMONA
State CA
ZIP 91797
Accounting period End 12
Primary contact name CLARENCE NEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARENCE NEAL
EXECUTIVE DIRECTOR
1695 N FIRST AVE
UPLAND CA 91784

Officer/Director/Trustee Two

GLORIA PRENTICE
SECRETARY
19 HIDDEN VALLEY RD
POMONA CA 91766

Officer/Director/Trustee Three

FLOYD JOHNSON
TREASURER
351 ANNAPOLIS DR
CLAREMONT CA 91711

Officer/Director/Trustee Four

JACQUELINE JONES
TRUSTEE
11352 M ABBOTT CT
ALTA LOMA CA 91737

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2004
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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