FORM 1023-EZ for A FRESH START TRANSITIONAL LIVING

Field Data
EIN 83-1351509
Case Number EO-2018222-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A FRESH START TRANSITIONAL LIVING
Organization’s Mailing Address 4150 CHICAGO AVE UNIT 5904
City RIVERSIDE
State CA
ZIP 92507
Accounting period End 12
Primary contact name ANGELA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA WILLIAMS
PRESIDENT, DIRECTOR
16470 ZOCALO PLACE
MORENO VALLEY CA 92551

Officer/Director/Trustee Two

DOMONIQUE LEE
SECRETARY, DIRECTOR
16470 ZOCALO PLACE
MORENO VALLEY CA 92551

Officer/Director/Trustee Three

ANDREA TURNER
TREASURER, DIRECTOR
7120 S LACIENGA BL UNIT 2
INGELWOOD CA 90302

Officer/Director/Trustee Four

DEVIN LEE
DIRECTOR
24131 SAFIRO CT
WILDOMAR CA 92595

Officer/Director/Trustee Five

KEITH WILLIAMS
DIRECTOR
16470 ZOCALO PLACE
MORENO VALLEY CA 92551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
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: 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 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 ANGELA WILLIAMS
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/8/18

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