FORM 1023-EZ for GROWN AZZ WOMAN

Field Data
EIN 83-1114312
Case Number EO-2019063-000573
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROWN AZZ WOMAN
Organization’s Mailing Address 15132 RANCHO OBISPO RD
City PARAMOUNT
State CA
ZIP 90723
Accounting period End 12
Primary contact name TAMEKA THIERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMEKA THIERRY
DIRECTOR
15132 RANCHO OBISPO RD
PARAMOUNT CA 90723

Officer/Director/Trustee Two

EDWIN THIERRY IV
DIRECTOR
15132 RANCHO OBISPO RD
PARAMOUNT CA 90723

Officer/Director/Trustee Three

DEIJANEE HANDY
DIRECTOR
15132 RANCHO OBISPO RD
PARAMOUNT CA 90723

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 TAMEKA THIERRY
Signature Title DIRECTOR
Signature Date 3/2/19

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