FORM 1023-EZ for WOMEN FAMILIES AND DIVERSITY SERVICES

Field Data
EIN 84-2079755
Case Number EO-2019301-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOMEN FAMILIES AND DIVERSITY SERVICES
Organization’s Mailing Address 2053 WEST 83 RD STREET
City LOS ANGELES
State CA
ZIP 90047
Accounting period End 12
Primary contact name JACYLEE YATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACYLEE YATES
CEO
2053 WEST 83 RD STREET
LOS ANGELES CA 90047

Officer/Director/Trustee Two

KAYSHALIN WHEATLY
CFO
21227 FIGUEROA STREET APT 215
CARSON CA 90745

Officer/Director/Trustee Three

JACQUELINE MAYES
PRESIDENT
24845 HEIL DRIVE
MORENO VALLEY CA 92553

Officer/Director/Trustee Four

CHUWEKA BRIDGEWATER
TRUSTEE
3523 WEST 63 RD STREET APT 4
LOS ANGELES CA 90043

Officer/Director/Trustee Five

KIANNA FLENOR
SECRETARY
13680 HIDALGO STREET
DESERT HOT SPRING CA 92240

Organization’s website
Organization’s email WFDSSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIANNA FLENOR
Signature Title SECRETARY
Signature Date 10/24/19

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