FORM 1023-EZ for BEAT DIABETES INC

Field Data
EIN 81-2992711
Case Number EO-2016203-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAT DIABETES INC
Organization’s Mailing Address 2466 CORINTH AVE SUITE 6
City LOS ANGELES
State CA
ZIP 90064
Accounting period End 12
Primary contact name RABEH SOOFI ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN CORY
EXECUTIVE DIRECTOR
2466 CORINTH AVE SUITE 6
LOS ANGELES CA 90064

Officer/Director/Trustee Two

KEVIN CORY
DIRECTOR
2466 CORINTH AVE SUITE 6
LOS ANGELES CA 90064

Officer/Director/Trustee Three

SAMAR KHOURY
DIRECTOR
2466 CORINTH AVE SUITE 6
LOS ANGELES CA 90064

Officer/Director/Trustee Four

MARWAN KHOURY
DIRECTOR
2466 CORINTH AVE SUITE 6
LOS ANGELES CA 90064

Officer/Director/Trustee Five

HEIDI LANGE
DIRECTOR
11302 58TH STREET
LOS ANGELES CA 91752

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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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