FORM 1023-EZ for POSITIVE AGING & WELLNESS NETWORK INC

Field Data
EIN 84-2060830
Case Number EO-2019224-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POSITIVE AGING & WELLNESS NETWORK INC
Organization’s Mailing Address 6080 CENTER DR UNIT 646
City LOS ANGELES
State CA
ZIP 90045
Accounting period End 12
Primary contact name MONICA ISABELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA ISABELL
CHIEF OPERATING OFFICER / DIRECTOR
1976 S LA CIENEGA BLVD 540
LOS ANGELES CA 90034

Officer/Director/Trustee Two

VINCENT SAMUEL
PRESIDENT / OFFICE MANANGER
1748 W 105TH STREET
LOS ANGELES CA 90047

Officer/Director/Trustee Three

KANDRA ISABELL
SECRETARY
3318 S CANFIELD AVENUE 18
LOS ANGELES CA 90034

Officer/Director/Trustee Four

BRUCE MCCALL
DIRECTOR
3402 STOCKER STREET
LOS ANGELES CA 90008

Officer/Director/Trustee Five

AUDREY WALLACE
ADVISOR
1849 S CRESCENT HEIGHTS BLVD
LOS ANGELES CA 90035

Organization’s website WWW.POSITVEAGING.COM
Organization’s email MONICA.ISABELL@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 MONICA ISABELL
Signature Title CHIEF OPERATING OFFICER / DIRECTOR
Signature Date 8/8/19

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