FORM 1023-EZ for DCC DIABETES COALITION OF CALIFORNIA INC

Field Data
EIN 46-2945902
Case Number EO-2015007-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DCC DIABETES COALITION OF CALIFORNIA INC
Organization’s Mailing Address 7690 MADISON AVENUE
City LEMON GROVE
State CA
ZIP 91945-2423
Accounting period End 3
Primary contact name CHESNEY HOAGLAND-FUCHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHESNEY HOAGLAND-FUCHS
CHAIR
7690 MADISON AVENUE
LEMON GROVE CA 91945-2423

Officer/Director/Trustee Two

HEATHER JACOBS
VICE-CHAIR
7690 MADISON AVENUE
LEMON GROVE CA 91945-2423

Officer/Director/Trustee Three

ANJALI ANSARI
SECRETARY
7690 MADISON AVENUE
LEMON GROVE CA 91945-2423

Officer/Director/Trustee Four

SUSAN LOPEZ-PAYAN
BOARD MEMBER
7690 MADISON AVENUE
LEMON GROVE CA 91945-2423

Officer/Director/Trustee Five

ANA PEREZ
BOARD MEMBER
7690 MADISON AVENUE
LEMON GROVE CA 91945-2423

Organization’s website HTTP://DIABETESCOALITIONOFCALIFORNIA.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
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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