FORM 1023-EZ for SIMPLY PROVIDE FOUNDATION

Field Data
EIN 84-3361568
Case Number EO-2019290-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMPLY PROVIDE FOUNDATION
Organization’s Mailing Address 325 W HUNTINGTON DR
City MONROVIA
State CA
ZIP 91016
Accounting period End 12
Primary contact name KESHIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KESHIA BOWEN
CEO
325 W HUNTINGTON DR
MONROVIA CA 91016

Officer/Director/Trustee Two

DIONDRE HAYNES
SECERTARY
325 W HUNTINGTON DR
MONROVIA CA 91016

Officer/Director/Trustee Three

DAMION HAYNES
TREASURER
325 W HUNTINGTON DR
MONROVIA CA 91016

Officer/Director/Trustee Four

ALTHEA HOSKINS
BOARD MEMBER
325 W HUNTINGTON DR
MONROVIA CA 91016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 KESHIA BOWEN
Signature Title CEO
Signature Date 10/15/19

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