FORM 1023-EZ for EATING DISORDER PREVENTION OF SOUTHERN CALIFORNIA

Field Data
EIN 84-3092772
Case Number EO-2019298-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EATING DISORDER PREVENTION OF SOUTHERN CALIFORNIA
Organization’s Mailing Address 217 11TH STREET
City SEAL BEACH
State CA
ZIP 90740
Accounting period End 12
Primary contact name SUSAN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN WILLIAMS
PRESIDENT
217 11TH STREET
SEAL BEACH CA 90740

Officer/Director/Trustee Two

MIRA KANTAR
OFFICER
346 VIA LINDA DEL SUR
ENCINITAS CA 92024

Organization’s website WWW.EATINGDISORDERPREVENTIONSOCAL.COM
Organization’s email SUSANMFWILLIAMS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F53 - Eating Disorder, Addiction
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 Yes
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 SUSAN WILLIAMS
Signature Title PRESIDENT
Signature Date 10/23/19

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