FORM 1023-EZ for HSAN 1E SOCIETY

Field Data
EIN 47-5163620
Case Number EO-2015348-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HSAN 1E SOCIETY
Organization’s Mailing Address 79405 HISHWAY 111 STE 9-237
City LA QUINTA
State CA
ZIP 92253-8300
Accounting period End 12
Primary contact name KRISTA HEMMING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHELLE DIXON
PRESIDENT
354 GLENBRIAR CIR
TRACY CA 95377

Officer/Director/Trustee Two

KRISTA HEMMING
VICE PRESIDENT
42330 BRIDGES COURT
INDIO CA 92203

Officer/Director/Trustee Three

DAN DIXON
TREASURER
354 GLENBRIAR CIR
TRACY CA 95377

Officer/Director/Trustee Four

PATRICIA HUFFMAN
SECRETARY
7650 HILLROSE DRIVE
DUBLIN CA 94568

Officer/Director/Trustee Five

EARL LINDGREN
MEMBER AT LARGE
215 E HOLLYWOOD AVE
TRACY CA 95376

Organization’s website HSAN1ESOCIETY.ORG
Organization’s email HSAN1ESOCIETY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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