FORM 1023-EZ for KOTG FAMILY AND YOUTH SERVICES

Field Data
EIN 47-3868036
Case Number EO-2015320-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOTG FAMILY AND YOUTH SERVICES
Organization’s Mailing Address 1613 COLUSA STREET
City CHULA VISTA
State CA
ZIP 91913
Accounting period End 12
Primary contact name LYNN TWORK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LYNN TWORK
CEO
1613 COLUSA ST
CHULA VISTA CA 91913

Officer/Director/Trustee Two

TODD BULICH
CFO/TREASURER
1010 SECOND AVENUE- 24TH FLOOR
SAN DIEGO CA 92101

Officer/Director/Trustee Three

JENNIFER TREVINO
SECRETARY
3332 HATTEN LN
RIVERSIDE CA 92503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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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