FORM 1023-EZ for HEMOPHILIA ALLIANCE OF ORANGE COUNTY INC

Field Data
EIN 47-3084158
Case Number EO-2015058-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEMOPHILIA ALLIANCE OF ORANGE COUNTY INC
Organization’s Mailing Address 9151 ATLANTA AVENUE 6429
City HUNTINGTON BEACH
State CA
ZIP 92615-2453
Accounting period End 12
Primary contact name MICHELE WARNER - FOUNDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEN WIRICK
PRESIDENT/CHAIR
9151 ATLANTA AVENUE 6429
HUNTINGTON BEACH CA 92615-2453

Officer/Director/Trustee Two

DARYLE PALMER
TREASURER
9151 ATLANTA AVENUE 6429
HUNTINGTON BEACH CA 92615-2453

Officer/Director/Trustee Three

DOUG WARNER
SECRETARY
9151 ATLANTA AVENUE 6429
HUNTINGTON BEACH CA 92615-2453

Officer/Director/Trustee Four

KATE FENTON
BOARD MEMBER
9151 ATLANTA AVENUE 6429
HUNTINGTON BEACH CA 92615-2453

Organization’s website WWW.HAOC.ORG
Organization’s email MWARNER@HAOC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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