FORM 1023-EZ for BERTHAH PHYLLS
| Field | Data |
|---|---|
| EIN | 82-4274364 |
| Case Number | EO-2018095-000372 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BERTHAH PHYLLS |
| Organization’s Mailing Address | 1005 E LAS TUNAS DRIVE ROOM 524 |
| City | SAN GABRIEL |
| State | CA |
| ZIP | 91776 |
| Accounting period End | 12 |
| Primary contact name | WESLEY MA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WESLEY MA
DIRECTOR / SECRETARY
1005 E LAS TUNAS DRIVE ROOM 524
SAN GABRIEL CA 91776
Officer/Director/Trustee Two
PRISCILLA LAM
PRESIDENT
1005 E LAS TUNAS DRIVE ROOM 524
SAN GABRIEL CA 91776
Officer/Director/Trustee Three
STEPHEN SIFUENTES
DIRECTOR / TREASURER
2525 CRESCENT AVE
CLOVIS CA 93612
Officer/Director/Trustee Four
DUSTIN HEATH
DIRECTOR / RESEARCH AND DEVELOPMENT
791 WEST 7TH STREET
UPLAND CA 91786
| Organization’s website | |
|---|---|
| Organization’s email | LAMA.DARUMA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/3/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | Yes |
| Disaster relief assistance | Yes |
| 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 | WESLEY MA |
| Signature Title | DIRECTOR / SECRETARY |
| Signature Date | 3/21/18 |
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