FORM 1023-EZ for LA CASA DEL ANGEL

Field Data
EIN 47-3947406
Case Number EO-2016256-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA CASA DEL ANGEL
Organization’s Mailing Address 1551 BOSTON COURT APT 5
City SANTA ROSA
State CA
ZIP 95405
Accounting period End 12
Primary contact name MAUREEN WAHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALFREDO NAVA
DIRECTOR
1551 BOSTON COURT APT 5
SANTA ROSA CA 95405

Officer/Director/Trustee Two

CAROLINA ANAYA
DIRECTOR
1551 BOSTON COURT APT 5
SANTA ROSA CA 95405

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, 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
Signature Title
Signature Date

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