FORM 1023-EZ for JOHNSONS GROUP HOME INC

Field Data
EIN 95-4369340
Case Number EO-2019296-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHNSONS GROUP HOME INC
Organization’s Mailing Address 1516 S VICTORIA AVENUE
City LOS ANGELES
State CA
ZIP 90019
Accounting period End 12
Primary contact name GRETA CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRETA CURTIS
CFO
1516 S VICTORIA AVENUE
LOS ANGELES CA 90019

Officer/Director/Trustee Two

DELLITA JOHNSON
CEO
1726 LEIGHTON AVENUE
LOS ANGELES CA 90037

Officer/Director/Trustee Three

BESSIE JOHNSON JOHNSON
SECRETARY
1726 LEIGHTON AVENUE
LOS ANGELES CA 90037

Officer/Director/Trustee Four

CARLOS MONTENEGRO
TREASURER
4936 W 118TH PLACE
HAWTHORNE CA 90250

Officer/Director/Trustee Five

BRIDGET COOK
ATTORNEY
1516 S VICTORIA AVENUE
LOS ANGELES CA 90019

Organization’s website
Organization’s email JOHNSONGROUPHOME196@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/90
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name GRETA CURTIS
Signature Title CFO
Signature Date 10/21/19

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