FORM 1023-EZ for CRPS FORUM

Field Data
EIN 82-3929698
Case Number EO-2018016-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRPS FORUM
Organization’s Mailing Address 3940 LAUREL CYN BLVD 634
City STUDIO CITY
State CA
ZIP 91604
Accounting period End 12
Primary contact name ROXANNE GORZELA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANNE GORZELA
DIRECTOR AND PRESIDENT
3940 LAUREL CANYON BLVD 634
STUDIO CITY CA 91604

Officer/Director/Trustee Two

WALTER GORZELA
TREASURER
8702 NAIRN STREET
ROWLETT TX 75089

Officer/Director/Trustee Three

CHESTER DEITZ
DIRECTOR AND SECRETARY
65 SERENITY
IRVINE CA 92618

Officer/Director/Trustee Four

TONY CORDASCO
DIRECTOR
15 VIA MANTOVA SUITS 109
HENDERSON NV 89011

Organization’s website WWW.CRPSFORUM.COM
Organization’s email ROXANNE@CRPSFORUM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 ROXANNE GORZELA
Signature Title DIRECTOR AND PRESIDENT
Signature Date 1/12/18

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