FORM 1023-EZ for EKLEKTIC ANGEL INCORPORATION

Field Data
EIN 83-0552906
Case Number EO-2018257-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EKLEKTIC ANGEL INCORPORATION
Organization’s Mailing Address 53 LINDEN AVENUE APARTMENT 2
City LONG BEACH
State CA
ZIP 90802
Accounting period End 3
Primary contact name AMANDA HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA HOLLAND
PRESIDENT/CEO
53 LINDEN AVENUE APARTMENT 2
LONG BEACH CA 90802

Officer/Director/Trustee Two

DEIDRE COOLEY
SECRETARY
4120 FRONT ROYAL ROAD
VIRGINIA BEACH VA 23453

Officer/Director/Trustee Three

PERIS MAZYCK
DIRECTOR OF MARKETING
718 LANGLEY AVENUE
HAMPTON VA 23669

Officer/Director/Trustee Four

JNAYA DEAN
DIRECTOR OF COMMUNITY OUTREACH
15 LILIAC LANE
TRABUCO CANYON CA 92679

Organization’s website
Organization’s email EKLEKTICANGEL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 No
Correctness Declaration Yes
Signature Name AMANDA HOLLAND
Signature Title PRESIDENT/CEO
Signature Date 9/11/18

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