FORM 1023-EZ for COMMUNITY HEALING MASSAGE
| Field | Data |
|---|---|
| EIN | 81-3476529 |
| Case Number | EO-2016272-000198 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY HEALING MASSAGE |
| Organization’s Mailing Address | 5252 CORTEEN PL NUMBER 35 |
| City | VALLEY VILLAGE |
| State | CA |
| ZIP | 91607 |
| Accounting period End | 12 |
| Primary contact name | REBEKAH KUJAWSKY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
REBEKAH KUJAWSKY
DIRECTOR AND PRESIDENT
5252 CORTEEN PL NUMBER 35
VALLEY VILLAGE CA 91607
Officer/Director/Trustee Two
MARIA ESCOBAR
DIRECTOR AND SECRETARY
11416 CALVERT ST
NORTH HOLLYWOOD CA 91606
Officer/Director/Trustee Three
JACQUELINE ANDONIAN
DIRECTOR
1234 17TH ST NORTH
ST PETERSBURG FL 33713
Officer/Director/Trustee Four
PETRA HERNANDEZ
TREASURER
310 LARGOVISTA DR
OAKLAND FL 34787
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/21/2016 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | Yes |
| 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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