FORM 1023-EZ for THE MODEL BEHAVIOR

Field Data
EIN 81-5471607
Case Number EO-2017286-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MODEL BEHAVIOR
Organization’s Mailing Address 727 WEST 7TH STREET SUITE 703
City LOS ANGELES
State CA
ZIP 90017-3753
Accounting period End 12
Primary contact name CHANDRA RODGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDRA RODGERS
CEO
727 WEST 7TH ST SUITE 703
LOS ANGELES CA 90017-3753

Officer/Director/Trustee Two

MICHELLE NURSE
SECRETARY
3612 GYPSY LANE
PHILADELPHIA PA 19129-1613

Officer/Director/Trustee Three

ELISE KIRKLAND
CFO
727 WEST 7TH ST SUITE 717
LOS ANGELES CA 90017-3753

Officer/Director/Trustee Four

DEREK RODGERS
COO
727 WEST 7TH STREET SUITE 703
LOS ANGELES CA 90017-3753

Organization’s website THEMODELBEHAVIOR.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2017
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 Yes
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
Signature Title
Signature Date

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