FORM 1023-EZ for JUST BREATHE THE ROCIO GUILLEN FOUNDATION

Field Data
EIN 82-3978188
Case Number EO-2018285-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUST BREATHE THE ROCIO GUILLEN FOUNDATION
Organization’s Mailing Address 5346 IROQUOIS AVE
City LAKEWOOD
State CA
ZIP 90713
Accounting period End 12
Primary contact name JESSE GUILLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS GUILLEN
PRESIDENT/CEO
5346 IROQUOIS AVE
LAKEWOOD CA 90713

Officer/Director/Trustee Two

LILIANA CAMPOS
TREASURER
5346 IROQUOIS AVE
LAKEWOOD CA 90713

Officer/Director/Trustee Three

JANELLE RAMIREZ
SECRETARY
16217 VIRGINIA AVE
PARAMOUNT CA 90723

Officer/Director/Trustee Four

JESSE GUILLEN
DIRECTOR (1)
5346 IROQUOIS AVE
LAKEWOOD CA 90713

Officer/Director/Trustee Five

CASSANDRA PALACIOS
DIRECTOR (2)
3676 HOWARD ST
LOS ALAMITOS CA 90720

Organization’s website WWW.THERGFOUNDATION.COM
Organization’s email JUSTBREATHERGF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 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 MARCUS GUILLEN
Signature Title PRESIDENT/CEO
Signature Date 10/10/18

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