FORM 1023-EZ for NACC LOS ANGELES CHAPTER INC

Field Data
EIN 83-1525263
Case Number EO-2018341-000423
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NACC LOS ANGELES CHAPTER INC
Organization’s Mailing Address 16255 VENTURA BOULEVARD STE 515
City ENCINO
State CA
ZIP 91436-2310
Accounting period End 12
Primary contact name ERIK STEIGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK STEIGEN
PRESIDENT
16255 VENTURA BLVD STE 515
ENCINO CA 91436-2310

Officer/Director/Trustee Two

ERIK ROLLAND
TREASURER
3801 W TEMPLE AVE BLDG 164
POMONA CA 91768

Officer/Director/Trustee Three

ASBJORN EGIR
SECRETARY
631 SAINT VINCENT
IRVINE CA 92618

Officer/Director/Trustee Four

DANA MICHELS
DIRECTOR
4221 VIA MAINA STE 105
MARINA DEL REY CA 90292

Officer/Director/Trustee Five

AUDUN POULSEN
DIRECTOR
355 AVOCADO STREET C2
COSTA MESA CA 92627

Organization’s website WWW.NACCLOSANGELES.ORG
Organization’s email NACCLOSANGELES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
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: Yes
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 No
Correctness Declaration Yes
Signature Name ERIK STEIGEN
Signature Title PRESIDENT
Signature Date 12/5/18

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