FORM 1023-EZ for ONLY WITH CONSENT INC

Field Data
EIN 46-4677200
Case Number EO-2014351-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONLY WITH CONSENT INC
Organization’s Mailing Address 2517 NORTHSIDE DRIVE 1031
City SAN DIEGO
State CA
ZIP 92108
Accounting period End 12
Primary contact name JASMIN ENRIQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASMIN ENRIQUEZ
PRESIDENT
2517 NORTHSIDE DRIVE 1031
SAN DIEGO CA 92108

Officer/Director/Trustee Two

MICHAEL FRIEDMAN
VICE CHAIR
2517 NORTHSIDE DRIVE 1031
SAN DIEGO CA 92108

Officer/Director/Trustee Three

NAJAAH DANIELS
TREASURER
2517 NORTHSIDE DRIVE 1031
SAN DIEGO CA 92108

Officer/Director/Trustee Four

JULIA DIXON
BOARD MEMBER
2517 NORTHSIDE DRIVE 1031
SAN DIEGO CA 92108

Organization’s website ONLYWITHCONSENT.ORG
Organization’s email JASMIN@ONLYWITHCONSENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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
Signature Title
Signature Date

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