FORM 1023-EZ for FIL-AM TARLAC ASSOCIATION

Field Data
EIN 32-0470459
Case Number EO-2019060-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIL-AM TARLAC ASSOCIATION
Organization’s Mailing Address 5792 WARWICK CIRCLE
City LA PALMA
State CA
ZIP 90623
Accounting period End 12
Primary contact name DAN E NINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEODORICA FORTUNATO
PRESIDENT
5792 WARWICK CIRCLE
LA PALMA CA 90623

Officer/Director/Trustee Two

TESSIE LIGHTHOLDER
VICE PRESIDENT
2474 CANYON TERRACE DR
CHINO HILLS CA 91709

Officer/Director/Trustee Three

ANNABELLE ESPINOSA
SECRETARY
7400 SEPULVEDA BLVD APT 302
VAN NUYS CA 91406

Officer/Director/Trustee Four

JOSEFINA OPINALDO
TREASURER
1330 SMOKE TREE COURT
LA HABRA CA 90631

Officer/Director/Trustee Five

DAN NINO
GOVERNMENT LIAISON
12540 OAKCREEK LN
CERRITOS CA 90703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/15
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name TEODORICA FORTUNATO
Signature Title PRESIDENT
Signature Date 2/26/19

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