FORM 1023-EZ for RAIDER NATION SOUTH LOS ANGELES

Field Data
EIN 82-0981503
Case Number EO-2017109-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAIDER NATION SOUTH LOS ANGELES
Organization’s Mailing Address 4401 W SLAUSON AVE SUITE 206
City LOS ANGELES
State CA
ZIP 90043
Accounting period End 5
Primary contact name DAVID WISANSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID WISANSKY
PRESIDENT
4409 W 59TH PLACE
LOS ANGELES CA 90043

Officer/Director/Trustee Two

TISHAUNA PRENTISS
TREASURER
3500 MANCHESTER UNIT 360
INGLEWOOD CA 90305

Officer/Director/Trustee Three

KATRINA FRANKLIN
SECRETARY
7212 S LA CIENEGA UNIT C
INGLEWOOD CA 90302

Officer/Director/Trustee Four

FREDDIE BAKER
SERGEANT AT ARMS
625 W 103RD ST
LOS ANGELES CA 90044

Officer/Director/Trustee Five

FLOYD GROSS
PUBLIC RELATIONS OFFICER
946 W 220TH ST UNIT 107
TORRANCE CA 90746

Organization’s website WWW.RNSLA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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