FORM 1023-EZ for J A D V JEMBA AGAINST DOMESTIC VIOLENCE

Field Data
EIN 81-1138209
Case Number EO-2016027-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name J A D V JEMBA AGAINST DOMESTIC VIOLENCE
Organization’s Mailing Address 326 N WESTERN AVE SUITE 206
City LOS ANGELES
State CA
ZIP 90004
Accounting period End 12
Primary contact name COLETTE AMIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

OSTON JEMBA MADENGUE
PRESIDENT
4952 BEVERLY BLVD
LOS ANGELES CA 90004

Officer/Director/Trustee Two

COLETTE AMIN
VICE PRESIDENT/SECRETARY
4952 BEVERLY BLVD
LOS ANGELES CA 90004

Officer/Director/Trustee Three

MACKENZIE CREGAN
2ND VICE PRESIDENT
236 S MC CADDEN PL
LOS ANGELES CA 90004

Officer/Director/Trustee Four

JUNE BILGORE
TREASURER/CFO
355 S WINDSOR BLVD
LOS ANGELES CA 90004

Organization’s website WWW.JEMBA.ORG
Organization’s email COLETTE@JEMBA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 Yes
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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