FORM 1023-EZ for GIRL WELL INCORPORATED

Field Data
EIN 85-3047978
Case Number EO-2021168-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIRL WELL INCORPORATED
Organization’s Mailing Address 10767 OREGON AVENUE
City CULVER CITY
State CA
ZIP 90232
Accounting period End 12
Primary contact name SAM JARRAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLI COOPER
PRESIDENT&FOUNDER&CEO
10767 OREGON AVENUE
CULVER CITY CA 90232

Officer/Director/Trustee Two

MAURICE COOPER
BOARD MEMBER & DIRECTOR
10767 OREGON AVENUE
CULVER CITY CA 90232

Officer/Director/Trustee Three

ERROL WILLIAMS
BOARD MEMBER & DIRECTOR
1545 WYNRIDGE POINTE
ALPHARETTA GA 30005

Officer/Director/Trustee Four

RENAE AZZIZ
BOARD DIRECTOR&DIRECTOR
9450 EAST RAYMOND ST
INDIANAPOLIS IN 46239

Officer/Director/Trustee Five

ERIKA COOPER
TREASURER & SECRETARY
10767 OREGON AVENUE
CULVER CITY CA 90232

Organization’s website GIRLWELL.ORG
Organization’s email MAURICECOOPER16@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Correctness Declaration Yes
Signature Name KAYLI COOPER
Signature Title PRESIDENT&FOUNDER&CEO
Signature Date 6/15/2021

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