FORM 1023-EZ for CASA DEL DIABETICO GUALAN-USA

Field Data
EIN 83-1117342
Case Number EO-2019066-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASA DEL DIABETICO GUALAN-USA
Organization’s Mailing Address 341 S CURTIS AVE
City ALHAMBRA
State CA
ZIP 91803
Accounting period End 12
Primary contact name SANDRA LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA LOPEZ
CHIEF EXECUTIVE OFFICER
341 S CURTIS AVE
ALHAMBRA CA 91803

Officer/Director/Trustee Two

FREDY LOPEZ
SECRETARY
341 S CURTIS AVE
ALHAMBRA CA 91803

Officer/Director/Trustee Three

CONSUELO LOPEZ
CHIEF FINANCIAL OFFICER
339 S CURTIS AVE
ALHAMBRA CA 91803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 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 SANDRA LOPEZ
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/4/19

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