FORM 1023-EZ for ASTRA LABS

Field Data
EIN 82-4565271
Case Number EO-2018095-000682
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASTRA LABS
Organization’s Mailing Address 3110 E PALM DR - UNIT 12
City FULLERTON
State CA
ZIP 92831
Accounting period End 12
Primary contact name AMANDA SOUTHWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA SOUTHWORTH
EXECUTIVE DIRECTOR
3110 E PALM DR - UNIT 12
FULLERTON CA 92831

Officer/Director/Trustee Two

COLEMAN OATES
OPERATIONS DIRECTOR
238 CHAPPELL RD
FAYETTEVILLE GA 30215

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 AMANDA SOUTHWORTH
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/24/18

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