FORM 1023-EZ for SOUTHERN CALIFORNIA FORWARD ASSIST FOUNDATION

Field Data
EIN 81-4627488
Case Number EO-2016358-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN CALIFORNIA FORWARD ASSIST FOUNDATION
Organization’s Mailing Address 4109 W 183RD ST
City TORRANCE
State CA
ZIP 90504
Accounting period End 12
Primary contact name KENNETH TAKAHASHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH TAKAHASHI
CEO
4109 W 183RD ST
TORRANCE CA 90504

Officer/Director/Trustee Two

ALEX LOPEZ
SECRETARY
6702 HELIOTROE AVE
BELL CA 90201

Officer/Director/Trustee Three

JAMES MA
TRESURER
5371 W 124TH PLACE
HAWTHORNE CA 90250

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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