FORM 1023-EZ for CHRISTIAN VISION ALLIANCE INC

Field Data
EIN 47-3882420
Case Number EO-2015152-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN VISION ALLIANCE INC
Organization’s Mailing Address 1937 LA RAMADA DR
City CAMARILLO
State CA
ZIP 93012
Accounting period End 12
Primary contact name JEFFREY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY BROWN
DIRECTOR, PRESIDENT
1937 LA RAMADA DR
CAMARILLO CA 93012

Officer/Director/Trustee Two

LARRY SAGELY
DIRECTOR
1937 LA RAMADA DR
CAMARILLO CA 93012

Officer/Director/Trustee Three

SHAHROKH AFSHAR
DIRECTOR, TREAS/SECT
1937 LA RAMADA DR
CAMARILLO CA 93012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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