FORM 1023-EZ for BARNER & ASSOCIATES

Field Data
EIN 87-1590428
Case Number EO-2021193-000854
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARNER & ASSOCIATES
Organization’s Mailing Address 4501 DON TIMOTEO DR
City LOS ANGELES
State CA
ZIP 90008
Accounting period End 12
Primary contact name DR ANITA BARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR ANITA BARNER
PRESIDENT
4501 DON TIMOTEO DR
LOS ANGELES CA 90008

Officer/Director/Trustee Two

DR TASCEAIE CHURCHWELL
SECRETARY
8044 PALM VIEW LANE
RIVERSIDE CA 92508

Officer/Director/Trustee Three

ALEXIS COLINO
TREASURER
3290 EUCALYPTUS AVE
LONG BEACH CA 90806

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2021
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 DR ANITA BARNER
Signature Title PRESIDENT
Signature Date 7/9/2021

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