FORM 1023-EZ for EMPLOYEE ASSISTANCE PROFESSIONALS-SAN FERNANDO CHAPTER

Field Data
EIN 95-3957523
Case Number EO-2015282-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPLOYEE ASSISTANCE PROFESSIONALS-SAN FERNANDO CHAPTER
Organization’s Mailing Address PO BOX 57874
City SHERMAN OAKS
State CA
ZIP 91413-2874
Accounting period End 6
Primary contact name DR CHARLES LITMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK MAZZOLA
PRESIDENT
12520 MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91607

Officer/Director/Trustee Two

CHARLES LITMAN
VICE PRESIDENT
4419 VAN NUYS BLVD SUITE 405
SHERMAN OAKS CA 91403

Officer/Director/Trustee Three

JEFFREY SCHLUND
TREASURER
18136 OXNARD STREET
TARZANA CA 91356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/1981
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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