FORM 1023-EZ for SPACEPORT LA

Field Data
EIN 81-5124158
Case Number EO-2017052-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPACEPORT LA
Organization’s Mailing Address 8 AMESBURY CT
City LADERA RANCH
State CA
ZIP 92694-0321
Accounting period End 6
Primary contact name MONICA JAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA JAN
DIRECTOR/PRESIDENT
8 AMESBURY CT
LADERA RANCH CA 92694-0321

Officer/Director/Trustee Two

CURTIS IWATA
DIRECTOR/TREASURER
11234 RICHLAND AVE
LOS ANGELES CA 90064-3905

Officer/Director/Trustee Three

ANDREW BARTON
DIRECTOR/SECRETARY
1347 23RD ST APT 307
SANTA MONICA CA 90404-2025

Officer/Director/Trustee Four

NORRIS TIE
DIRECTOR/VICE-PRESIDENT
7157 GLENVIEW DR
SAN JOSE CA 95120-5807

Officer/Director/Trustee Five

VERA MULYANI
DIRECTOR/EXECUTIVE DIRECTOR
14028 TAHITI WAY
MARINA DL REY CA 90292-6593

Organization’s website HTTPS://WWW.SPACEPORTLA.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 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 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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