FORM 1023-EZ for LA HEALTH VOLUNTEER CORPS

Field Data
EIN 85-1320520
Case Number EO-2020288-000052
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA HEALTH VOLUNTEER CORPS
Organization’s Mailing Address 619 FONTES DRIVE
City FREMONT
State CA
ZIP 94539
Accounting period End 12
Primary contact name HAROON RASHEED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE PANENO
PRESIDENT / DIRECTOR
5185 OAK MEADOW DR
SANTA ROSA CA 95401

Officer/Director/Trustee Two

HAROON RASHEED
TREASURER / SEC / DIR
619 FONTES DRIVE
FREMONT CA 94539

Officer/Director/Trustee Three

HANNAH CHUNG
DIRECTOR
11949 GOSHEN AVE APT 203
LOS ANGELES CA 90049

Officer/Director/Trustee Four

OLIVIA WU
DIRECTOR
3187 FEDERAL AVE
LOS ANGELES CA 90066

Officer/Director/Trustee Five

ELYSE CONLEY
DIRECTOR
3180 SAWTELLE BLVD APT 101
LOS ANGELES CA 90066

Organization’s website WWW.LACOVIDVOLUNTEERS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 HAROON RASHEED
Signature Title TREASURER / SEC / DIR
Signature Date 10/12/2020

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