FORM 1023-EZ for LUZ FOUNDATION

Field Data
EIN 46-2716464
Case Number EO-2015069-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUZ FOUNDATION
Organization’s Mailing Address 4665 LOUISIANA ST UNIT 2
City SAN DIEGO
State CA
ZIP 92116
Accounting period End 12
Primary contact name ALEXIS MONTEJANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEXIS MONTEJANO
PRESIDENT
4665 LOUISIANA ST UNIT 2
SAN DIEGO CA 92116

Officer/Director/Trustee Two

DOUG HARRINGTON
TREASURER
888 N QUINCY ST UNIT 2008
ARLINGTON VA 22203

Officer/Director/Trustee Three

BENJAMIN BAJARIN
SECRETARY
12475 CREEKVIEW CT
SAN MARTIN CA 95046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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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