FORM 1023-EZ for GOLDEN HEART LA

Field Data
EIN 83-2417041
Case Number EO-2021271-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN HEART LA
Organization’s Mailing Address 1315 PLEASANT AVENUE SUITE 3
City LOS ANGELES
State CA
ZIP 90033
Accounting period End 12
Primary contact name JUANITA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE LOPEZ
CEO
1315 PLEASANT AVENUE SUITE 3
LOS ANGELES CA 90033

Officer/Director/Trustee Two

CASMERINA JAEGER
SECRETARY
1315 PLEASANT AVENUE SUITE 3
LOS ANGELES CA 90033

Officer/Director/Trustee Three

EDWIN BALDELOMAR
CFO
1315 PLEASANT AVENUE SUITE 3
LOS ANGELES CA 90033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 Yes
Correctness Declaration Yes
Signature Name STEVE LOPEZ
Signature Title CEO
Signature Date 9/26/2021
EIN 83-2417041
Case Number EO-2019081-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOLDEN HEART LA
Organization’s Mailing Address 1315 PLEASANT AVENUE STE 3
City LOS ANGELES
State CA
ZIP 90033
Accounting period End 12
Primary contact name JUANITA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE LOPEZ
PRESIDENT
1315 PLEASANT AVENUE STE 3
LOS ANGELES CA 90033

Officer/Director/Trustee Two

CASMERINA JAEGER
SECRETARY
1315 PLEASANT AVENUE STE 3
LOS ANGELES CA 90033

Officer/Director/Trustee Three

EDWIN BALDELOMAR
TREASURER
1315 PLEASANT AVENUE STE 3
LOS ANGELES CA 90033

Officer/Director/Trustee Four

S LOPEZ
DIRECTOR
1315 PLEASANT AVENUE STE 3
LOS ANGELES CA 90033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEVE LOPEZ
Signature Title PRESIDENT
Signature Date 3/19/19

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