FORM 1023-EZ for ANGELS IN FLIGHT HOME CARE

Field Data
EIN 81-2269969
Case Number EO-2016179-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGELS IN FLIGHT HOME CARE
Organization’s Mailing Address 1323 NEWBURY RD STE 203
City NEWBURY PARK
State CA
ZIP 91320-3688
Accounting period End 12
Primary contact name JACKIE MCMAHON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE MCMAHON
PRESIDENT DIRECTOR
1323 NEWBURY RD STE 203
NEWBURY PARK CA 91320-3688

Officer/Director/Trustee Two

TAMARA BACCO
SECRETARY DIRECTOR
1323 NEWBURY RD STE 203
NEWBURY PARK CA 91320-3688

Officer/Director/Trustee Three

EVA COTA
TREASURER DIRECTOR
1323 NEWBURY RD STE 203
NEWBURY PARK CA 91320-3688

Officer/Director/Trustee Four

NICK DENOVA
DIRECTOR
1323 NEWBURY RD STE 203
NEWBURY PARK CA 91320-3688

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 Yes
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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