FORM 1023-EZ for SARAHS EYES HOME

Field Data
EIN 81-2655403
Case Number EO-2016354-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SARAHS EYES HOME
Organization’s Mailing Address 4254 BELLINGHAM AVE
City STUDIO CITY
State CA
ZIP 91604
Accounting period End 12
Primary contact name NANCY BELINDA HOLLOWAY-BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY HOLLOWAY-BROWN
CEO/DIRECTOR
4254 BELLINGHAM AVE
STUDIO CITY CA 91604

Officer/Director/Trustee Two

PATRICIA ALARCON
CFO/DIRECTOR
4356 BEAGLE STREET
LOS ANGELES CA 90032

Officer/Director/Trustee Three

THERESA DE VERA
SECRETRY/DIRECTOR
910 ALEGRE PLACE
LOS ANGELES CA 90064

Officer/Director/Trustee Four

EMMA HOLLOWAY
DIRECTOR
4254 BELLINGHAM AVE
STUDIO CITY CA 91604

Officer/Director/Trustee Five

JOSE RANGEL
DIRECTOR
663 S CHICAGO STREET
LOS ANGELES CA 90023

Organization’s website
Organization’s email HOLLOWAYNANCY52@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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
Signature Title
Signature Date

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