FORM 1023-EZ for A NEW JOURNEY INN

Field Data
EIN 81-1777270
Case Number EO-2016076-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A NEW JOURNEY INN
Organization’s Mailing Address 2211 RAYMOND AVE
City LOS ANGELES
State CA
ZIP 90007
Accounting period End 12
Primary contact name FAYE A WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FAYE WILLIAMS
PRESIDENT/TREASURER
2211 RAYMOND AVE
LOS ANGELES CA 90007

Officer/Director/Trustee Two

FRANK DEROSEN
DIRECTOR
2211 RAYMOND AVE
LOS ANGELES CA 90007

Officer/Director/Trustee Three

QUINCEY MITCHELL
DIRECTOR
2211 RAYMOND AVE
LOS ANGELES CA 90007

Officer/Director/Trustee Four

NINA SANDERS
DIRECTOR
2211 RAYMOND AVE
LOS ANGELES CA 90007

Officer/Director/Trustee Five

DELL HUFF
DIRECTOR
2211 RAYMOND AVE
LOS ANGELES CA 90007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 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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