FORM 1023-EZ for LATINOS IN INSURANCE NETWORKING FOROUR COMMUNITY

Field Data
EIN 46-2163660
Case Number EO-2018340-000558
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LATINOS IN INSURANCE NETWORKING FOROUR COMMUNITY
Organization’s Mailing Address PO BOX 9267
City REDLANDS
State CA
ZIP 92375
Accounting period End 9
Primary contact name MICHELLE S RAMIREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA BARBOSA
CHIEF EXECUTIVE OFFICER
20878 INDIGO POINT
RIVERSIDE CA 92508

Officer/Director/Trustee Two

MICHELLE RAMIREZ
SECRETARY
2155 BALERIA DRIVE
SAN PEDRO CA 90732

Officer/Director/Trustee Three

YAJAIRA LARA
CHIEF FINANCIAL OFFICER
10261 FAYWOOD STREET
BELLFLOWER CA 90706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/14
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANA BARBOSA
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 12/4/18
EIN 46-2163660
Case Number EO-2015033-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LATINOS IN ISSURANCE NETWORK FOR OUR COMMUNITY
Organization’s Mailing Address PO BOX 9267
City REDLANDS
State CA
ZIP 92375
Accounting period End 9
Primary contact name ANA BARBOSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANA BARBOSA
PRESIDENT
20878 INDIGO POINT
RIVERSIDE CA 92508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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