FORM 1023-EZ for A FRIEND IN ME

Field Data
EIN 81-5071882
Case Number EO-2017055-000605
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A FRIEND IN ME
Organization’s Mailing Address 15168 CALLE VERANO
City CHINO HILLS
State CA
ZIP 91709
Accounting period End 12
Primary contact name NEEHARIKA PENDEKANTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEEHARIKA PENDEKANTI
PRESIDENT
15168 CALLE VERANO
CHINO HILLS CA 91709

Officer/Director/Trustee Two

RAJESH PENDEKANTI
TREASURER/SECRETARY
525 STRAUSS DRIVE
THOUSAND OAKS CA 91320

Officer/Director/Trustee Three

REEMA RAJANI
BOARD MEMBER
15395 MONTROSE COURT
CHINO HILLS CA 91709

Officer/Director/Trustee Four

SARITHA IVATURI
BOARD MEMBER
525 STRAUSS DRIVE
THOUSAND OAKS CA 91320

Officer/Director/Trustee Five

SUNITA BAHL
BOARD MEMBER
1449 RANCHO DRIVE
CHINO HILLS CA 91709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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