FORM 1023-EZ for CHARLIESANGELS4AUTISMFOUNDATION

Field Data
EIN 80-0903270
Case Number EO-2021100-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLIESANGELS4AUTISMFOUNDATION
Organization’s Mailing Address 28711 PACIFIC COAST HIGHWAY UNIT 1
City MALIBU
State CA
ZIP 90265
Accounting period End 12
Primary contact name CHARLENE SIMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLENE SIMPSON
PRESIDENT/DIRECTOR
28711 PACIFIC COAST HWY UNIT 1
MALIBU CA 90265

Officer/Director/Trustee Two

SCOTT NEWLIN
SECRETARY
3650 REDONDO BEACH AVE
REDONDO BEACH CA 90278

Officer/Director/Trustee Three

JAN SWIFT
TREASURER
20836 PACIFIC COAST HWY
MALIBU CA 90265

Officer/Director/Trustee Four

JOSH HAMMOND
OFFICER
359 EL ENCANTADOR
SANTA BARBARA CA 93111

Officer/Director/Trustee Five

NICOLE GOODMAN
OFFICER
525 WEST 28TH STREET APT 652
NEW YORK NY 10001

Organization’s website CharliesAngels4Autism.org
Organization’s email Charliqua@hotmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
Correctness Declaration Yes
Signature Name CHARLENE SIMPSON
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/24/2021

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