FORM 1023-EZ for PEER ACTION 4 CHANGE

Field Data
EIN 82-0824985
Case Number EO-2021109-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEER ACTION 4 CHANGE
Organization’s Mailing Address 6666 GREEN VALLEY CIRCLE
City CULVER CITY
State CA
ZIP 90230-7068
Accounting period End 6
Primary contact name RUTH HOLLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUTH HOLLMAN
SECRETARY
6666 GREEN VALLEY CIRCLE
CULVER CITY CA 90230-7068

Officer/Director/Trustee Two

LEOLA WILLIAMS
PRESIDENT
6666 GREEN VALLEY CIRCLE
CULVER CITY CA 90230-7068

Officer/Director/Trustee Three

ASHLEY WREN
TREASURER
6666 GREEN VALLEY CIRCLE
CULVER CITY CA 90230-7068

Officer/Director/Trustee Four

HASANA 9
VICE-PRESIDENT
6666 GREEN VALLEY CIRCLE
CULVER CITY CA 90230-7068

Organization’s website WWW.PEERACTION4CHANGE.ORG
Organization’s email INFO@PEERACTION4CHANGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RUTH HOLLMAN
Signature Title SECRETARY
Signature Date 4/15/2021
EIN 82-0824985
Case Number EO-2017163-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEER ACTION 4 CHANGE
Organization’s Mailing Address 6666 GREEN VALLEY CIRCLE STE 216
City CULVER CITY
State CA
ZIP 90230
Accounting period End 12
Primary contact name RUTH HOLLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY SALES
PRESIDENT
6666 GREEN VALLEY CIRCLE STE 216
CULVER CITY CA 90230

Officer/Director/Trustee Two

LAWRENCE REYES
VP
6666 GREEN VALLEY CIRCLE STE 216
CULVER CITY CA 90230

Officer/Director/Trustee Three

JENNA SOBELMAN
TREASURER
6666 GREEN VALLEY CIRCLE STE 216
CULVER CITY CA 90230

Officer/Director/Trustee Four

LEOLA WILLIAMS
SECRETARY
666 GREEN VALLEY CIRCLE STE 216
CULVER CITY CA 90230

Officer/Director/Trustee Five

RUTH HOLLMAN
EXECUTIVE DIRECTOR
6666 GREEN VALLEY CIRCLE STE 216
CULVER CITY CA 90230

Organization’s website
Organization’s email RUTH@SHARESELFHELP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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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