FORM 1023-EZ for LOTUS RETREAT

Field Data
EIN 82-5165546
Case Number EO-2018135-000018
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOTUS RETREAT
Organization’s Mailing Address 111 MARQUEZ PL STE 109
City PACIFIC PALISADES
State CA
ZIP 90272
Accounting period End 12
Primary contact name SANDRA DE CASTRO BUFFINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA DE CASTRO BUFFINGTON
PRESIDENT, DIRECTOR
111 MARQUEZ PL STE 109
PACIFIC PALISADES CA 90272

Officer/Director/Trustee Two

KRISTIE CUNNINGHAM
TREASURER, DIRECTOR
2647 6TH ST STE 13
SANTA MONICA CA 90405

Officer/Director/Trustee Three

LAURIE CARPENTER
VICE PRESIDENT, SECRETARY, DIRECTOR
11808 KIOWA AVE STE 2
LOS ANGELES CA 90049

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/18
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: No
Religious: Yes
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 Yes
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 SANDRA DE CASTRO BUFFINGTON
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/9/18

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