FORM 1023-EZ for HOURGLASS ENRICHMENT

Field Data
EIN 35-2507789
Case Number EO-2015099-000438
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOURGLASS ENRICHMENT
Organization’s Mailing Address 1111 RANCHO CONEJO BLVD SUITE 305
City THOUSAND OAKS
State CA
ZIP 91320
Accounting period End 12
Primary contact name KRISTIN DUCHARME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIN DUCHARME
EXECTUTIVE DIRECTOR
555 LAURIE LANE APARTMENT I-1
THOUSAND OAKS CA 91360

Officer/Director/Trustee Two

SUKRU BOZTEPE
TREASURER
555 LAURIE LANE APARTMENT I-1
THOUSAND OAKS CA 91360

Officer/Director/Trustee Three

GENEVIEVE DUCHARME-HILL
SECRETARY
13620 ISIS AVE
HAWTHORNE CA 90250

Officer/Director/Trustee Four

ELYSE DAVIS
DEVELOPMENT DIRECTOR
1515 7TH STREET UNIT 181
SANTA MONICA CA 90401

Officer/Director/Trustee Five

JENNIFER LOGAN
GERIATRIC PROGRAM ADVISOR
19045 ANTIGUA DRIVE UNIT 50
FORT COLLINS CO 80525

Organization’s website HOURGLASSACTIVITIES.COM
Organization’s email INFO@HOURGLASSACTIVITIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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