FORM 1023-EZ for SELAH NEIGHBORHOOD HOMELESS COALITION

Field Data
EIN 83-2538392
Case Number EO-2019035-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELAH NEIGHBORHOOD HOMELESS COALITION
Organization’s Mailing Address 3210 DRURY LANE
City LOS ANGELES
State CA
ZIP 90039-3505
Accounting period End 12
Primary contact name HAYES DAVENPORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NITHYA RAMAN
PRESIDENT AND DIRECTOR
2658 LAKE VIEW TERRACE EAST
LOS ANGELES CA 90039-2605

Officer/Director/Trustee Two

HAYES DAVENPORT
TREASURER AND DIRECTOR
3210 DRURY LANE
LOS ANGELES CA 90039-3505

Officer/Director/Trustee Three

CATHERINE KIM
VICE PRESIDENT AND DIRECTOR
1972 NORTH EDGEMONT STREET
LOS ANGELES CA 90027

Officer/Director/Trustee Four

DARIUS DERAKSHAN
SECRETARY AND DIRECTOR
2399 SILVER LAKE BOULEVARD UNIT 20
LOS ANGELES CA 90039-3295

Officer/Director/Trustee Five

JANET KIM
DIRECTOR
1972 NORTH EDGEMONT STREET
LOS ANGELES CA 90027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 HAYES DAVENPORT
Signature Title TREASURER AND DIRECTOR
Signature Date 1/10/19

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