FORM 1023-EZ for SOUL FOUNDATION

Field Data
EIN 85-1003599
Case Number EO-2021214-000517
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUL FOUNDATION
Organization’s Mailing Address 6285 E SPRING ST STE 234
City LONG BEACH
State CA
ZIP 90808
Accounting period End 12
Primary contact name REGINA GLUSKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY JEWELL
PRESIDENT CEO
189 COLLEGE PARK DR
SEAL BEACH CA 90740

Officer/Director/Trustee Two

ELLIOTT RIVERA
VICE PRESIDENT
7003 MCMANUS ST
LAKEWOOD CA 90713

Officer/Director/Trustee Three

JENNIFER RIVERA
SECRETARY CFO
7003 MCMANUS ST
LAKEWOOD CA 90713

Officer/Director/Trustee Four

ERIKA LEE BEASLEY
DEVELOPMENT COORDINATOR
3447 CALLE LA VETA
SAN CLEMENTE CA 92672

Officer/Director/Trustee Five

QUINTON CHIESA
BOARD MEMBER
2625 EEL RIVER PL
ONTARIO CA 91761

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 LARRY JEWELL
Signature Title PRESIDENT CEO
Signature Date 7/30/2021

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