FORM 1023-EZ for S C A SOUTHERN CALIFORNIA ACADEMY INC

Field Data
EIN 84-1935391
Case Number EO-2019182-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name S C A SOUTHERN CALIFORNIA ACADEMY INC
Organization’s Mailing Address 1886 BASELBRIER LN
City SIMI VALLEY
State CA
ZIP 93065
Accounting period End 12
Primary contact name JEREMIAH FLOWERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS NICHOLS
PRESEDENT
1886
SIMI VALLEY CA 93065

Officer/Director/Trustee Two

JAMIE NICHOLS
CFO
1886 BASELBRIER LN
SIMI VALLEY CA 93065

Officer/Director/Trustee Three

JEREMIAH FLOWERS
SECRETARY
111 N LA BREA AVE
INGLEWOOD CA 90301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Correctness Declaration Yes
Signature Name JEREMIAH FLOWERS
Signature Title SECRETARY
Signature Date 6/27/19

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