FORM 1023-EZ for CENTERED COMMUNITY FOUNDATION

Field Data
EIN 81-4813760
Case Number EO-2020276-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTERED COMMUNITY FOUNDATION
Organization’s Mailing Address 2716 S VERMONT AVE STE 9
City LOS ANGELES
State CA
ZIP 90007
Accounting period End 12
Primary contact name KATHRYN BRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN BRYAN
PRESIDENT/FOUNDER
SUITE 9
LOS ANGELES CA 90007

Officer/Director/Trustee Two

WYNNE ALEXANDER
TREASURER
2716 S VERMONT AVE STE 9
LOS ANGELES CA 90007

Officer/Director/Trustee Three

JANE TERRY NESTEL
SECRETARY
2716 S VERMONT AVE STE 9
LOS ANGELES CA 90007

Officer/Director/Trustee Four

ROSA LIZARRAGA
AD HOC BOARD MEMBER
2716 S VERMONT AVE STE 9
LOS ANGELES CA 90007

Organization’s website WWW.CENTEREDCOMMUNITY.ORG
Organization’s email CENTEREDCOMMUNITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHRYN BRYAN
Signature Title PRESIDENT/FOUNDER
Signature Date 9/29/2020

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