FORM 1023-EZ for GOOD WORKS MOVEMENT

Field Data
EIN 47-4489501
Case Number EO-2015201-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD WORKS MOVEMENT
Organization’s Mailing Address 3425 NATURE TRAIL COURT
City PERRIS
State CA
ZIP 92571
Accounting period End 12
Primary contact name MARGARITA DE LA ROSA SERNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL SERNA
PRESIDENT/DIRECTOR
3425 NATURE TRAIL COURT
PERRIS CA 92571

Officer/Director/Trustee Two

MARGARITA DE LA ROSA SERNA
SECRETARY/DIRECTOR
3425 NATURE TRAIL COURT
PERRIS CA 92571

Officer/Director/Trustee Three

CHRISTINA LERMA
DIRECTOR
14942 SILVERTREE RD
MORENO VALLEY CA 92553

Officer/Director/Trustee Four

GABRIELA ESTRADA
DIRECTOR
5469 PALM AVE
RIVERSIDE CA 92506

Officer/Director/Trustee Five

JOSE OJEDA
DIRECTOR
8923 SHAWNEE AVE
RIVERSIDE CA 92503

Organization’s website
Organization’s email MARGARETSERNA6801@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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