FORM 1023-EZ for S-A-N-D TRANSITIONAL LIVING INC

Field Data
EIN 83-4119998
Case Number EO-2019186-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name S-A-N-D TRANSITIONAL LIVING INC
Organization’s Mailing Address 1816 WEST 43RD STREET
City LOS ANGELES
State CA
ZIP 90062
Accounting period End 6
Primary contact name SUSAUN WILBARN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FITZGERALD STILES
CHAIRMAN OF THE BOARD
PO BOX 2504
INGLEWOOD CA 90305

Officer/Director/Trustee Two

DEMANE REED
BOARD MEMBER
13801 PARAMOUNT BLVD
PARAMOUNT CA 90723

Officer/Director/Trustee Three

MATTIE WALKER
BOARD MEMBER
5464 ANGELES VISTA BLVD
LOS ANGELES CA 90043

Officer/Director/Trustee Four

SUSAUN WILBARN
CHIEF EXECUTIVE OFFICER
1816 WEST 43RD STREET
LOS ANGELES CA 90062

Officer/Director/Trustee Five

BREANA WILLIAMS
BOARD MEMBER
842 WEST 43RD PLACE
LOS ANGELES CA 90037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAUN WILBARN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/2/19

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