FORM 1023-EZ for UNDERSERVED SOCAL

Field Data
EIN 83-2569531
Case Number EO-2018331-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNDERSERVED SOCAL
Organization’s Mailing Address 5485 REPECHP DR 208
City SAN DIEGO
State CA
ZIP 92124
Accounting period End 12
Primary contact name BETTY WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTY WEST
PRESIDENT
5485 REPECHO DR 208
SAN DIEGO CA 92124

Officer/Director/Trustee Two

CHRISTOPHER REHWALDT
TREASURER
13506 UTOPIA RD
POWAY CA 92064

Officer/Director/Trustee Three

SERENA COOK
SECRETARY
13506 UTOPIA RD
POWAY CA 92064

Organization’s website UNDERSERVEDSOCAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 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 BETTY WEST
Signature Title PRESIDENT
Signature Date 11/25/18

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