FORM 1023-EZ for LA MESA COMMUNITY KIDS FOUNDATION

Field Data
EIN 83-1956486
Case Number EO-2018264-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA MESA COMMUNITY KIDS FOUNDATION
Organization’s Mailing Address 3131 CAMINO DEL RIO N STE 1000
City SAN DIEGO
State CA
ZIP 92108-5711
Accounting period End 6
Primary contact name JEREMY MARTINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY MARTINSON
PRESIDENT & CHAIRMAN OF THE BOARD
4344 DATE AVENUE
LA MESA CA 91941

Officer/Director/Trustee Two

PAUL JUSTIN
SECRETARY & DIRECTOR
10960 WILSHIRE BLVD SUITE 2100
LOS ANGELES CA 90024

Officer/Director/Trustee Three

AMY VANROSSUM
CHIEF FINANCIAL OFFICER & DIRECTOR
4370 PARKS AVENUE
LA MESA CA 91941

Organization’s website WWW.LAMESACOMMUNITYKIDSFOUNDATION.ORG
Organization’s email INFO@LAMESACOMMUNITYKIDSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMY MARTINSON
Signature Title PRESIDENT & CHAIRMAN OF THE BOARD
Signature Date 9/19/18

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