FORM 1023-EZ for HOUSE ON FIRE

Field Data
EIN 86-3850122
Case Number EO-2021183-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE ON FIRE
Organization’s Mailing Address 786 LOIS AVE
City NEWBURY PARK
State CA
ZIP 91320
Accounting period End 12
Primary contact name RAYMOND BLANCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND BLANCO
PRESIDENT & DIRECTOR
786 LOIS AVE
NEWBURY PARK CA 91320

Officer/Director/Trustee Two

DEREK DALE
TREASURER & DIRECTOR
909 S NORDICA ST
ANAHEIM CA 92806

Officer/Director/Trustee Three

NICHOLAS PISCITELLO
SECRETARY & DIRECTOR
2368 BIRCHFIELD ST
SIMI VALLEY CA 93063

Organization’s website
Organization’s email RAYBLANCO805@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 Yes
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 RAYMOND BLANCO
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/29/2021

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