FORM 1023-EZ for PROJECT SUCCESS

Field Data
EIN 38-4120827
Case Number EO-2019176-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT SUCCESS
Organization’s Mailing Address 13486 PHEASANT WAY
City EASTVALE
State CA
ZIP 92880
Accounting period End 12
Primary contact name DEBRA KIEFERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA KIEFERT
PRESIDENT
13486 PHEASANT WAY
EASTVALE CA 92880

Organization’s website
Organization’s email
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 B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 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 DEBRA KIEFERT
Signature Title PRESIDENT
Signature Date 6/20/19

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