FORM 1023-EZ for LA VISTA HISTORICAL FOUNDATION

Field Data
EIN 30-0938232
Case Number EO-2016208-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA VISTA HISTORICAL FOUNDATION
Organization’s Mailing Address 3191 ORANGE STREET
City NATIONAL CITY
State CA
ZIP 91950
Accounting period End 12
Primary contact name MICAELA POLANCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICAELA POLANCO
CEO/PRESIDENT
3191 ORANGE STREET
NATIONAL CITY CA 91950

Officer/Director/Trustee Two

MICAELA POLANCO
SECRETARY
3191 ORANGE STREET
NATIONAL CITY CA 91950

Officer/Director/Trustee Three

MICAELA POLANCO
CHIEF FINANCIAL OFFCIER
3191 ORANGE STREET
NATIONAL CITY CA 91950

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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