FORM 1023-EZ for IMMIGRANTS EMPOWERMENT SERVICES INC

Field Data
EIN 82-3771806
Case Number EO-2021099-000898
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMMIGRANTS EMPOWERMENT SERVICES INC
Organization’s Mailing Address 380 ASHWOOD WAY
City LINCOLN
State CA
ZIP 95648
Accounting period End 12
Primary contact name DEREK AVILA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK AVILA
CEO
380 ASHWOOD WAY
LINCOLN CA 95648

Officer/Director/Trustee Two

DEREK AVILA
CFO
380 ASHWOOD WAY
LINCOLN CA 95648

Officer/Director/Trustee Three

DEREK AVILA
SECRETARY
380 ASHWOOD WAY
LINCOLN CA 95648

Officer/Director/Trustee Four

DEREK AVILA
DIRECTOR
380 ASHWOOD WAY
LINCOLN CA 95648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2017
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: Yes
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 DEREK AVILA
Signature Title DIRECTOR
Signature Date 3/29/2021
EIN 82-3771806
Case Number EO-2017360-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMMIGRANTS EMPOWERMENT SERVICES INC
Organization’s Mailing Address 24551 RAYMOND WAY STE 150
City LAKE FOREST
State CA
ZIP 92630
Accounting period End 12
Primary contact name NAZEM RAFIEE-TARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAZEM RAFIEE-TARI
PRESIDENT
24551 RAYMOND WAY STE 150
LAKE FOREST CA 92630

Officer/Director/Trustee Two

MASOOMEH FARJOOD
TREASURER
22751 EL PRADO
RANCHO SAN MAGARITA CA 92688

Officer/Director/Trustee Three

ENTIA LAWAL
SECRETARY
91 FOX HOLLOW
IRVINE CA 92614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 NAZEM RAFIEE-TARI
Signature Title PRESIDENT
Signature Date 12/21/17

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