FORM 1023-EZ for FASD NETWORK OF SOUTHERN CALIFORNIA
| Field | Data |
|---|---|
| EIN | 46-3385695 |
| Case Number | EO-2014287-000201 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FASD NETWORK OF SOUTHERN CALIFORNIA |
| Organization’s Mailing Address | 2641 BRIGHTON RD |
| City | CARLSBAD |
| State | CA |
| ZIP | 92010-2891 |
| Accounting period End | 6 |
| Primary contact name | VALERIE LIPOW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
VALERIE LIPOW
PRESIDENT AND DIRECTOR
2641 BRIGHTON RD
CARLSBAD CA 92010-2891
Officer/Director/Trustee Two
ANNETTE KUNZMAN
TREASURER, SECRETARY AND DIRECTOR
1028 10TH STREET
MANHATTAN BEACH CA 90266-5904
Officer/Director/Trustee Three
ANNETTE HIGNIGHT
DIRECTOR
1502 E CARSON STREET APT 124
CARSON CA 90745-2319
Officer/Director/Trustee Four
MARGERY CHIRCHICK
DIRECTOR
9609 W OLYMPIC BLVD APT D
BEVERLY HILLS CA 90212-3743
Officer/Director/Trustee Five
PAULETTE BENSON
DIRECTOR
10959 LINDBLADE STREET
CULVER CITY CA 90230-4235
| Organization’s website | HTTPS://SITES.GOOGLE.COM/SITE/SOCALFASDNETWORK/ |
|---|---|
| Organization’s email | VALLIPOW@AOL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/29/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F21 - Alcohol, Drug Abuse, Prevention Only |
| 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 | Yes |
| 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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