FORM 1023-EZ for CROSSOVER HOMES

Field Data
EIN 46-4018156
Case Number EO-2016148-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSOVER HOMES
Organization’s Mailing Address 3041 W AVENUE M-2
City QUARTZ HILL
State CA
ZIP 93536
Accounting period End 12
Primary contact name KATHY E LUONGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM LUONGO
CHIEF EXECUTIVE OFFICER
3041 W AVENUE M-2
QUARTZ HILL CA 93536

Officer/Director/Trustee Two

KATHY LUONGO
EXECUTIVE DIRECTOR
3041 W AVENUE M-2
QUARTZ HILL CA 93536

Officer/Director/Trustee Three

DANIEL DURANTE
CHIEF FINANCIAL OFFICER
4840 W AVENUE L-12
QUARTZ HILL CA 93536

Officer/Director/Trustee Four

NOEL DURANTE
SECRETARY
4840 W AVENUE L-12
QUARTZ HILL CA 93536

Organization’s website CROSSOVERHOMES.NET
Organization’s email KATHY@CROSSOVERHOMES.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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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