FORM 1023-EZ for CHAMPION THE LIGHT MINISTRIES

Field Data
EIN 45-2287458
Case Number EO-2014321-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPION THE LIGHT MINISTRIES
Organization’s Mailing Address 16150 E ELGENIA ST
City COVINA
State CA
ZIP 91722-4026
Accounting period End 12
Primary contact name BERTHA FONSECA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BERTHA FONSECA
CHIEF EXECUTIVE OFFICER
16150 E ELGENIA ST
COVINA CA 91722-4026

Officer/Director/Trustee Two

LEANA MENDEZ
SECRETARY
4375 CLAYTON AVE
LOS ANGELES CA 90027

Officer/Director/Trustee Three

DIANE MENDEZ
CHIEF FINANCIAL OFFICER
4377 CLAYTON AVE
LOS ANGELES CA 90027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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