FORM 1023-EZ for HOUSE OF NAOMI

Field Data
EIN 46-4297948
Case Number EO-2016252-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF NAOMI
Organization’s Mailing Address 2431 N MOUNTAIN AVENUE
City UPLAND
State CA
ZIP 91784-8641
Accounting period End 12
Primary contact name BEVERLY MIRANDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY MIRANDA
DIRECTOR
2431 N MOUNTAIN AVENUE
UPLAND CA 91784-7641

Officer/Director/Trustee Two

JOEL PAGETT
BOARD OF DIRECTOR
13147 DERBY CT
CHINO CA 91710

Officer/Director/Trustee Three

RHONDA MORRIS
BOARD OF DIRECTOR
308 N PLACER PRIVADO
ONTARIO CA 91764

Organization’s website
Organization’s email HEAVENLY0204@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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