FORM 1023-EZ for REBUILD LA

Field Data
EIN 32-0510114
Case Number EO-2017086-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBUILD LA
Organization’s Mailing Address 7622 S AVALON BLVD
City LOS ANGELES
State CA
ZIP 90003-2326
Accounting period End 12
Primary contact name DEANTWAN FITTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANTWAN FITTS
CHIEF EXECUTIVE OFFICER
9503 SHADOWGROVE DR
RANCHO CUCAMONGA CA 91730-5705

Officer/Director/Trustee Two

RIDER PAYSINGER
SECRETARY
8504 S FIRESTONE BLVD APT 345
DOWNEY CA 90241-4926

Officer/Director/Trustee Three

ALVIN CRAIG
CHIEF FINANCIAL OFFICER
838 E 84TH ST
LOS ANGELES CA 90001-3613

Officer/Director/Trustee Four

JUAN YOUNG
DIRECTOR
1213 W 122ND ST
LOS ANGELES CA 90044-1131

Organization’s website WWW.REBUILDLA.COM
Organization’s email DEANTWAN@REBUILDLA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 Yes
Signature Name
Signature Title
Signature Date

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