FORM 1023-EZ for SOUTH BAY AMBASSADOR PROGRAM

Field Data
EIN 47-2125857
Case Number EO-2014308-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH BAY AMBASSADOR PROGRAM
Organization’s Mailing Address 2240 OTAY LAKES ROAD SUITE 306
City CHULA VISTA
State CA
ZIP 91915
Accounting period End 12
Primary contact name ANGELICA WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELICA WALLACE
CHIEF EXECUTIVE OFFICER
2240 OTAY LAKES ROAD 306
CHULA VISTA CA 91915

Officer/Director/Trustee Two

ISABEL LOZANO
TREASURER
PO BOX 212829
CHULA VISTA CA 91921

Officer/Director/Trustee Three

DIONNE HILL
SECRETARY
760 PASO DE LUZ
CHULA VISTA CA 91911

Officer/Director/Trustee Four

EBONEY HINDS
VICE PRESIDENT I
2237 CORTE SAN SIMEON
CHULA VISTA CA 91914

Officer/Director/Trustee Five

DAVE HINDS
VICE PRESIDENT II
2237 CORTE SAN SIMEON
CHULA VISTA CA 91914

Organization’s website WWW.SOUTHBAYAMBASSADORPROGRAM.ORG
Organization’s email MISSSOUTHBAY@COX.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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