FORM 1023-EZ for OTHER FELLOW INC

Field Data
EIN 82-4722909
Case Number EO-2018072-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTHER FELLOW INC
Organization’s Mailing Address 24 21ST ST
City SAN DIEGO
State CA
ZIP 92102
Accounting period End 12
Primary contact name THEODORE MERRIFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PORTER HOLLEN
CHIEF FINANCIAL OFFICER
13604 LANDFAIR DR
SAN DIEGO CA 92130

Officer/Director/Trustee Two

LUKE MIKOLAJEWSKI
SECRETARY
13811 NOB AVE
DEL MAR CA 92014

Officer/Director/Trustee Three

THEODORE MERRIFIELD
PRESIDENT
5191 SEAGROVE PL
SAN DIEGO CA 92130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THEODORE MERRIFIELD
Signature Title PRESIDENT
Signature Date 3/9/18

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