FORM 1023-EZ for SINGLE MOTHERS STUDENT SUCCESS

Field Data
EIN 84-2416809
Case Number EO-2019199-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE MOTHERS STUDENT SUCCESS
Organization’s Mailing Address 4616 N RIVER RD SPC 36
City OCEANSIDE
State CA
ZIP 92057
Accounting period End 12
Primary contact name DESERIE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA RICO
BOARD OF DIRECTOR
7160 SHORELINE DR APT 4205
SAN DIEGO CA 92122

Officer/Director/Trustee Two

TERESITA NELSON
BOARD OF DIRECTOR
3950 60TH ST UNIT 144
SAN DIEGO CA 92115

Officer/Director/Trustee Three

AUDRA NAJERA
BOARD OF DIRECTOR
2756 OLIVE ST
LEMON GROVE CA 91945

Officer/Director/Trustee Four

SABRINA CAMACHO
SECRETARY
8606 HEBRIDES DR
SAN DIEGO CA 92130

Officer/Director/Trustee Five

SHERI ROBINSON
CHIEF FINANCIAL OFFICER
1042 STILLWELL AVE
SAN DIEGO CA 92114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 No
Donation of funds Yes
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 LISA RICO
Signature Title BOARD OF DIRECTOR
Signature Date 7/16/19

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