FORM 1023-EZ for ARIELS PLACE

Field Data
EIN 84-3642326
Case Number EO-2019324-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIELS PLACE
Organization’s Mailing Address 2468 HISTORIC DECATUR ROAD STE 140
City SAN DIEGO
State CA
ZIP 92106
Accounting period End 12
Primary contact name JOANNA TSAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA GROSSMAN
PRESIDENT
2468 HISTORIC DECATUR ROAD STE 140
SAN DIEGO CA 92106

Officer/Director/Trustee Two

ASHLEY CAMPBELL
TREASURER
6290 ATKINS AVE APT 415
SAN DIEGO CA 92114

Officer/Director/Trustee Three

LESLIE LAKE-CYPRIAN
SECRETARY
731 S 65TH STREET
SAN DIEGO CA 92114

Officer/Director/Trustee Four

ALIYAH CAMPBELL
BOARD OF DIRECTOR
6290 ATKINS AVE APT 415
SAN DIEGO CA 92114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 LISA GROSSMAN
Signature Title PRESIDENT
Signature Date 11/18/19

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