FORM 1023-EZ for PHILIPPINE INDEPENDENT CHURCH DIOCESE OF WESTERN US AND WESTERN CANADA

Field Data
EIN 84-2262784
Case Number EO-2019284-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILIPPINE INDEPENDENT CHURCH DIOCESE OF WESTERN US AND WESTERN CANADA
Organization’s Mailing Address 14373 SHADY HOLLOW LANE
City CHINO HILLS
State CA
ZIP 91709-1741
Accounting period End 12
Primary contact name ELPIDIO QUIZON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAUL TOBIAS
PRESIDENT
14373 SHADY HOLLOW LANE
CHINO HILLS CA 91709-1741

Officer/Director/Trustee Two

LITO MOMBAY
VICE PRESIDENT
233 E 220TH STREET
CARSON CA 90745-3013

Officer/Director/Trustee Three

LEILA ENGNAN
SECRETARY
11062 SHARP AVENUE
MISSION HILLS CA 91345-1737

Officer/Director/Trustee Four

EUGENE FABIERO
TREASURER
874 PANTERA DRIVE
DIAMOND BAR CA 91765-1894

Officer/Director/Trustee Five

FLORIE MENOR
AUDITOR
33040 LAKE WAWASEE
FREMONT CA 94555-1287

Organization’s website
Organization’s email ELQUIZON16@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 RAUL TOBIAS
Signature Title PRESIDENT
Signature Date 10/7/2019

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