FORM 1023-EZ for PURE HEART TRANSITIONAL FOR WOMEN
| Field | Data |
|---|---|
| EIN | 20-2399972 |
| Case Number | EO-2019063-000137 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PURE HEART TRANSITIONAL FOR WOMEN |
| Organization’s Mailing Address | 5430 SHASTA AVE APT C |
| City | SAN PABLO |
| State | CA |
| ZIP | 94806 |
| Accounting period End | 12 |
| Primary contact name | ARNETTA BROX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ARNETTA BROX
PRESIDENT
5430 SHASTA AVE APTC
SAN PABLO CA 94806
Officer/Director/Trustee Two
DENNIS ELLIOTT
VICE PRESIDENT
37623 SANDRA LN
PALMDALE CA 93550
Officer/Director/Trustee Three
ANTANAY HICKS
SECRETARY
2659 HAVENSCOURT BLVD
OAKLAND CA 94605
Officer/Director/Trustee Four
CHRISHAY SIMMONS
TREASURER
2433 88TH AVE
OAKLAND CA 94606
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/6/06 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | ARNETTA BROX |
| Signature Title | CEO-DIRECTOR |
| Signature Date | 2/28/19 |
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