FORM 1023-EZ for HIS CHILDREN INC

Field Data
EIN 68-0624701
Case Number EO-2016126-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIS CHILDREN INC
Organization’s Mailing Address 2130 E 4TH ST STE 200
City SANTA ANA
State CA
ZIP 92705-3818
Accounting period End 6
Primary contact name JUSTIN LAIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD VERLEUR II
CHIEF EXECUTIVE OFFICER
2130 E 4TH ST STE 200
SANTA ANA CA 92705-3818

Officer/Director/Trustee Two

EDWARD BECKER
CHIEF FINANCIAL OFFICER
2130 E 4TH ST STE 200
SANTA ANA CA 92705-3818

Officer/Director/Trustee Three

JIM WOODSIDE
CHAIRMAN OF THE BOARD
2130 E 4TH ST STE 200
SANTA ANA CA 92705-3818

Officer/Director/Trustee Four

KATHRYN JONES
SECRETARY
2130 E 4TH ST STE 200
SANTA ANA CA 92705-3818

Officer/Director/Trustee Five

DAN SCHLOTHAN
DIRECTOR
2130 E 4TH ST STE 200
SANTA ANA CA 92705-3818

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2006
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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