FORM 1023-EZ for GWENDOLYNS LIGHT

Field Data
EIN 84-4848492
Case Number EO-2020086-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GWENDOLYNS LIGHT
Organization’s Mailing Address 2601 BLANDING AVE SUITE C-504
City ALAMEDA
State CA
ZIP 94501
Accounting period End 12
Primary contact name CAMERON HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA KATZ
PRESIDENT, DIRECTOR
2601 BLANDING AVE SUITE C-504
ALAMEDA CA 94501

Officer/Director/Trustee Two

RUTH TILLMAN
VICE PRESIDENT, SECRETARY, DIRECTOR
2601 BLANDING AVE SUITE C-504
ALAMEDA CA 94501

Officer/Director/Trustee Three

MARK HERSMAN
TREASURER, DIRECTOR
2601 BLANDING AVE SUITE C-504
ALAMEDA CA 94501

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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 LAURA KATZ
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/24/2020

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