FORM 1023-EZ for LOS MSA

Field Data
EIN 85-0805768
Case Number EO-2020192-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOS MSA
Organization’s Mailing Address 2764 ACTON STREET
City BERKELEY
State CA
ZIP 94702-2334
Accounting period End 6
Primary contact name MARTIN DE MUCHA FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN DE MUCHA FLORES
PRESIDENT
2764 ACTON
BERKELEY CA 94702-2334

Officer/Director/Trustee Two

ARTURO RODRIQUEZ
SECRETARY
6908 SPRINGMONT
ELK GROVE CA 95758-4929

Officer/Director/Trustee Three

SAMUEL BLANCO III
TREASURER
1567 CARMEL VALLEY ROAD
WOODLAND CA 95776-6771

Officer/Director/Trustee Four

RICK GUERRA
BOARDMEMEBER
1814 67TH AVENUE
SACRAMENTO CA 95822-4825

Officer/Director/Trustee Five

JOSE MICHELE
BOARDMEMBER
485 COOL WIND WAY
SACRAMENTO CA 95831-3791

Organization’s website N/A
Organization’s email MARTIN.DEMUCHAFLORES@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MARTIN DE MUCHA FLORES
Signature Title PRESIDENT
Signature Date 7/8/2020

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