FORM 1023-EZ for HAND THERAPY ASSOCIATION OF CALIFORNIA

Field Data
EIN 94-3231195
Case Number EO-2016323-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAND THERAPY ASSOCIATION OF CALIFORNIA
Organization’s Mailing Address 23786 BRANT LANE
City LAGUNA NIGUEL
State CA
ZIP 92677
Accounting period End 12
Primary contact name DIANE COKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA LASHGARI
PRESIDENT
436 SUMMIT DRIVE
EMERALD HILLS CA 94062

Officer/Director/Trustee Two

MICHELLE COOK
SECRETARY
20575 FOREST AVENUE
CASTRO VALLEY CA 94546

Officer/Director/Trustee Three

DIANE COKER
TREASURER
89786 BRANT LANE
LAGUNA NIGUEL CA 92677

Organization’s website WWW.HTA-CA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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