FORM 1023-EZ for BEWORTHY

Field Data
EIN 82-4176558
Case Number EO-2018051-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEWORTHY
Organization’s Mailing Address 16124 BLACKWOOD ST
City LA PUENTE
State CA
ZIP 91744
Accounting period End 12
Primary contact name SYLTON HURDLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYLTON HURDLE
PRESIDENT, DIRECTOR
16124 BLACKWOOD ST
LA PUENTE CA 91744

Officer/Director/Trustee Two

ELLIS COLEMAN
SECRETARY, DIRECTOR
3220 LAS MARIAS AVE
HACIENDA HEIGHTS CA 91745

Officer/Director/Trustee Three

DIANA MCKEE
TREASURER, DIRECTOR
675 S RESERVOIR ST
POMONA CA 91766

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SYLTON HURDLE
Signature Title PRESIDENT, DIRECTOR
Signature Date 2/16/18

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