FORM 1023-EZ for CORONA RELIEF ORGANIZATION

Field Data
EIN 85-0936661
Case Number EO-2020143-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORONA RELIEF ORGANIZATION
Organization’s Mailing Address 1100 VIA BLAIRO
City CORONA
State CA
ZIP 92879
Accounting period End 12
Primary contact name BRETT MEDINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAXIMILLION HAYAMA
CHIEF EXECUTIVE OFFICER
1100 VIA BLAIRO
CORONA CA 92879

Officer/Director/Trustee Two

BRETT MEDINA
CHIEF FINANCIAL OFFICER
1327 SOUNDVIEW CIRCLE
CORONA CA 92881

Officer/Director/Trustee Three

KENNETH RESILLAS
SECRETARY
1221 COUNTESS DRIVE
CORONA CA 92882

Officer/Director/Trustee Four

BRANDON KHAMPHANH
VICE PRESIDENT OF MARKETING
1085 TRAILSIDE CIRCLE
CORONA CA 92881

Officer/Director/Trustee Five

RENALDY HERLIM
BUSINESS ANALYST
1075 TRAILSIDE CIRCLE
CORONA CA 92881

Organization’s website
Organization’s email CORONARELIEFORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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 BRETT MEDINA
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 5/19/2020

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