FORM 1023-EZ for SYNERGY COMMUNITY SERVICES

Field Data
EIN 46-5725452
Case Number EO-2014223-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYNERGY COMMUNITY SERVICES
Organization’s Mailing Address 5332 SOUTH RIMPAU BLVD
City LOS ANGELES
State CA
ZIP 90043
Accounting period End 12
Primary contact name LISA RICHMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHALONDA PROCTOR
CHIEF OPERATING OFFICER
1901 GARTH AVEUE
LOS ANGELES CA 90034

Officer/Director/Trustee Two

LESLIE CURTIS
CHIEF FINANCIAL OFFICER
5332 SOUTH RIMPAU BLVD
LOS ANGELES CA 90043

Officer/Director/Trustee Three

PATSY COBB
PRESIDENT OF THE BOARD
6127 CASHIO STREET
LOS ANGELES CA 90035

Officer/Director/Trustee Four

LISA RICHMOND
CHIEF OF OPERATIONS
13938 HILLCREST DRIVE
FONTANA CA 92337

Officer/Director/Trustee Five

DR MICHAEL BUNDY
BOARD MEMBER
12222 WILSHIRE BLVD APT 407
LOS ANGELES CA 90025

Organization’s website SYNERGYCOMMUNITYSERVICES.ORG
Organization’s email INFO@SYNERGYCOMMUNITYSERVICES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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