FORM 1023-EZ for TOP OF THE HILL ADULT CARE FACILITY

Field Data
EIN 81-4334818
Case Number EO-2019331-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOP OF THE HILL ADULT CARE FACILITY
Organization’s Mailing Address 806 E SANDPOINT CT
City CARSON
State CA
ZIP 90746-1527
Accounting period End 12
Primary contact name DWON PHILLIPS HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWON PHILLIPS HILL
ADMINISTRATOR
806 E SANDPOINT CT
CARSON CA 90746-1527

Officer/Director/Trustee Two

KARLTON LAVIAS
PRESIDENT
7117 BRADFIELD
COMPTON CA 90221

Officer/Director/Trustee Three

ALVIA SMITH
SECRETARY
5127 HILLCREST
LOS ANGELES CA 90043

Officer/Director/Trustee Four

KANESSHA LAMAR
TREASURER
6809 HARBOR AVE
LONG BEACH CA 90805

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DWON PHILLIPS HILL
Signature Title ADMINISTRATOR
Signature Date 11/25/2019

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