FORM 1023-EZ for PREVENT ABUSE AMERICA

Field Data
EIN 86-2639339
Case Number EO-2021175-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREVENT ABUSE AMERICA
Organization’s Mailing Address 1919 WILLIAMS STREET SUITE 210
City SIMI VALLEY
State CA
ZIP 93065
Accounting period End 12
Primary contact name JOHN BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT JUCEAM
PRESIDENT&TREASURER&DIRE
1919 WILLIAMS STREET SUITE 210
SIMI VALLEY CA 93065

Officer/Director/Trustee Two

LORENA JUCEAM
SECRETARY
1919 WILLIAMS STREET SUITE 210
SIMI VALLEY CA 93065

Organization’s website PREVENTABUSEAMERICA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 SCOTT JUCEAM
Signature Title PRESIDENT&TREASURER&DIRE
Signature Date 6/22/2021

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