FORM 1023-EZ for IMAGINE CLEAN AIR LA INC

Field Data
EIN 47-3314445
Case Number EO-2015065-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMAGINE CLEAN AIR LA INC
Organization’s Mailing Address 11693 SAN VICENTE STE 124
City LOS ANGELES
State CA
ZIP 90049
Accounting period End 12
Primary contact name STEVEN VAN ALEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN VAN ALEN
CHIEF EXECUTIVE OFFICER
740 S BURNSIDE AVE NUM 118
LOS ANGELES CA 90036

Officer/Director/Trustee Two

KELLEN LEVY
SECRETARY
12412 TEXAS AVE NUM 302
LOS ANGELES CA 90025

Officer/Director/Trustee Three

DANIEL WEBER
CHIEF FINANCIAL OFFICER
7200 FRANKLIN AVE NUM 125
LOS ANGELES CA 90046

Organization’s website
Organization’s email IMAGINECLEANAIRLA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 Yes
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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