FORM 1023-EZ for SIA ORGANIZATION

Field Data
EIN 27-2882449
Case Number EO-2014304-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIA ORGANIZATION
Organization’s Mailing Address 18571 EAST TANGO AVENUE
City ANAHEIM
State CA
ZIP 92807-1151
Accounting period End 12
Primary contact name JODI HOBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JODI HOBBS
PRESIDENT
18571 EAST TANGO AVENUE
ANAHEIM CA 92807

Officer/Director/Trustee Two

ANGELA BENNETT
SECRETARY
18571 EAST TANGO AVENUE
ANAHEIM CA 92807

Officer/Director/Trustee Three

STEVEN KIMBROUGH
MEDIA RESEARCH/TREASURER
18571 EAST TANGO AVENUE
ANAHEIM CA 92807

Organization’s website WWW.SIA-NOW.ORG
Organization’s email SIA.JODI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2010
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 No
One Third Support Gifts Yes
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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