FORM 1023-EZ for TEHACHAPI HUMANITARIAN RELIEF ORGANIZATION
| Field | Data |
|---|---|
| EIN | 86-1605385 |
| Case Number | EO-2021078-001006 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TEHACHAPI HUMANITARIAN RELIEF ORGANIZATION |
| Organization’s Mailing Address | 29601 BUTTERFIELD WAY |
| City | TEHACHAPU |
| State | CA |
| ZIP | 93561 |
| Accounting period End | 6 |
| Primary contact name | JUSTINA ENGEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JUSTINA ENGEN
PRESIDENT
29601 BUTTERFIELD WAY
TEHACHAPI CA 93561
Officer/Director/Trustee Two
NICOLE GALLELLA
SECRETARY
23360 ANGUS CT
TEHACHAPI CA 93561
Officer/Director/Trustee Three
AMANDA HANSON
TREASURER
25875 SKYLINE DRIVE
TEHACHAPI CA 93561
Officer/Director/Trustee Four
REBECCA SANDERS
EXECUTIVE COMMUNITY
832 S GREEN STREET
TEHACHAPI CA 93561
Officer/Director/Trustee Five
LEIF ENGEN
EXECUTIVE COMMUNITY
29601 BUTTERFIELD WAY
TEHACHAPI CA 93561
| Organization’s website | TEHACHAPIHUMANITARIANRELIEF.ORG |
|---|---|
| Organization’s email | TEHACHAPIHUMANITARIAN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/13/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P60 - Emergency Assistance (Food, Clothing, Cash) |
| 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 | Yes |
| 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 | JUSTINA ENGEN |
| Signature Title | PRESIDENT |
| Signature Date | 1/21/2021 |
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