FORM 1023-EZ for SOUTHERN CALIFORNIA CHAPTER OF THE UNITED SPINAL ASSOCIATION

Field Data
EIN 47-2450275
Case Number EO-2017300-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN CALIFORNIA CHAPTER OF THE UNITED SPINAL ASSOCIATION
Organization’s Mailing Address 40667 SYMPHONY PARK LANE
City MURRIETA
State CA
ZIP 92562-5895
Accounting period End 12
Primary contact name RICHARD HAYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD HAYDEN
EXECUTIVE DIRECTOR
40667 SYMPHONY PARK LANE
MURRIETA CA 92562-5895

Officer/Director/Trustee Two

CELIA BREWER
VICE PRESIDENT
2159 VIA TIEMPO
CARIFF CA 92007-1215

Officer/Director/Trustee Three

STEVE GOLDMAN
TREASURER
9439 FAIRGROVE LANE 106
SAN DIEGO CA 92129-2639

Officer/Director/Trustee Four

KAREN MCCORD
SECRETARY
13195 CALLE DE LOS NINOS
SAN DIEGO CA 92129-2919

Organization’s website WWW.SCCHAPTER.ORG
Organization’s email SCCHAPTER2013@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 No
One Third Support Gifts No
Benefit of College Yes
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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