FORM 1023-EZ for SOUTHERN UNIVERSITY ALUMNI LOS ANGELES CHAPTER

Field Data
EIN 47-4793614
Case Number EO-2019084-000551
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN UNIVERSITY ALUMNI LOS ANGELES CHAPTER
Organization’s Mailing Address 6721 SPRINGPARK AVE
City LOS ANGELES
State CA
ZIP 90056
Accounting period End 6
Primary contact name CAMILLE MAYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE MAYO
PRESIDENT
6721 SPRINGPARK AVE
LOS ANGELES CA 90056

Officer/Director/Trustee Two

ALICIA JONES
VICE PRESIDENT
6507 DAFFODIL COURT
EASTVALE CA 92880

Officer/Director/Trustee Three

ALEX WADE
FINANCIAL SECRETARY
24223 SYLVAN GLEN RD
DIAMOND BAR CA 91765

Officer/Director/Trustee Four

RON SAMUEL
TREASURER
1207 W 75TH STREET
LOS ANGELES CA 90044

Organization’s website WWW.SULACHAPTER.ORG
Organization’s email SULACHAPTER@GMSIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/15
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAMILLE MAYO
Signature Title PRESIDENT
Signature Date 3/22/19
EIN 47-4793614
Case Number EO-2016049-000121
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN UNIVERSITY ALUMNI LOS ANGELES CHAPTER
Organization’s Mailing Address 6721 SPRINGPARK AVE UNIT 6
City LOS ANGELES
State CA
ZIP 90056
Accounting period End 6
Primary contact name CAMILLE MAYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAMILLE MAYO
TREASURER
6721 SPRINGPARK AVE 6
LOS ANGELES CA 90056

Officer/Director/Trustee Two

JEVAILLIER JEFFERSON
CORRESPONDING SECRETARY
4287 DON LUIS DRIVE
LOS ANGELES CA 90008

Officer/Director/Trustee Three

KEITH MOTT
PRESIDENT
POST OFFICE BOX 12588
MARINA DEL REY CA 90295

Officer/Director/Trustee Four

KEISHA MARTIN
RECORDING SECRETARY
4869 LINSCOTT UNIT 2
LOS ANGELES CA 90016

Organization’s website N/A
Organization’s email CAMILLE.MAYO56@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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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