FORM 1023-EZ for LASA AMIGOS DE SANTA ANA

Field Data
EIN 87-1828634
Case Number EO-2021229-000116
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LASA AMIGOS DE SANTA ANA
Organization’s Mailing Address 14300 CHESTNUT STREET APT 231
City WESTMINSTER
State CA
ZIP 92683
Accounting period End 12
Primary contact name FRANCISCO BARRAGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE MATA
PRESIDENT
14300 CHESTNUT STREET APT 231
WESTMINSTER CA 92703

Organization’s website NOT APPLICABLE
Organization’s email BARRAGANFJCPA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
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 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 No
Signature Name JOSE MATA
Signature Title PRESIDENT
Signature Date 8/16/2021

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