FORM 1023-EZ for MY LITTLE ROSE TEENAGE MENTORING PROGRAM

Field Data
EIN 47-4896744
Case Number EO-2018341-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY LITTLE ROSE TEENAGE MENTORING PROGRAM
Organization’s Mailing Address 4924 BALBOA BLVD UNIT 285
City ENCINO
State CA
ZIP 91316
Accounting period End 12
Primary contact name SONIA BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONIA BURKE
PRESIDENT
40427 VEREDA DRIVE
PALMDALE CA 93550

Officer/Director/Trustee Two

SALINA BORRERO
SECRETARY
25015 AVENIDA BALITA
SANTA CLARITA CA 91355

Officer/Director/Trustee Three

SONIA EVANS
TREASURER
309 RIDGE ROAD
HIGHLAND PARK IL 60035

Organization’s website WWW.MYLITTLEROSE.ORG
Organization’s email INFO@MYLITTLEROSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 SONIA BURKE
Signature Title PRESIDENT
Signature Date 12/5/18

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