FORM 1023-EZ for GENESIS ALUMNI ASSOCIATION INC

Field Data
EIN 84-4300382
Case Number EO-2020097-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENESIS ALUMNI ASSOCIATION INC
Organization’s Mailing Address 1732 PALMA DR 208
City VENTURA
State CA
ZIP 93003
Accounting period End 12
Primary contact name LIZ ARANDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ATHENA NARANJO
PRESIDENT/DIRECTOR
1810 VISALIA ST
OXNARD CA 93035

Officer/Director/Trustee Two

ANGEL JONES
SECRETARY
1180 CALLAS DR
OXNARD CA 93035

Officer/Director/Trustee Three

JOHN ISMAY
TREASURER
3388 REXFORD ST
VENTURA CA 93003

Officer/Director/Trustee Four

ZACH DORFMAN
BOARD MEMBER 1
1315 S ROXBURY DR 304
LOS ANGELES CA 90035

Officer/Director/Trustee Five

TERESA FRANCIS
BOARD MEMBER 2
1980 E OJAI AVE
OJAI CA 93023

Organization’s website
Organization’s email A.NARANJO@GENESISPROGRAMS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 ATHENA NARANJO
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/2/2020

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