FORM 1023-EZ for OPEN SOURCE HOMELESSNESS INITIATIVE

Field Data
EIN 85-2245319
Case Number EO-2020295-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPEN SOURCE HOMELESSNESS INITIATIVE
Organization’s Mailing Address 821 TRACTION AVE 107
City LOS ANGELES
State CA
ZIP 90013-1857
Accounting period End 12
Primary contact name ALICE KIMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN FRIEDMAN
PRESIDENT/CHAIR
2118 REDCLIFFF ST
LOS ANGELES CA 90039

Officer/Director/Trustee Two

STEPHANIE RIGOLOT
DIRECTOR/SECRETARY
500 MONTEREY ROAD SOUTH
PASADENA CA 91030

Officer/Director/Trustee Three

WILL WRIGHT
DIRECTOR/TREASURER
734 N EAST KENSINGTON ROAD
LOS ANGELES CA 90026

Officer/Director/Trustee Four

YALE SIEGEL
DIRECTOR/PROJECT COORDINATOR
341 TAYMAN PARK AVE
LAS VEGAS NV 89148

Officer/Director/Trustee Five

FELIPE URRUTIA
ADMINISTRATOR/DESIGN STRATEGIST
4140 BATTERSEA ROAD
MIAMI FL 33133

Organization’s website HTTPS://WWW.OSHI-LA.ORG/
Organization’s email AKIMM@JFAK.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L19 - Nonmonetary Support 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 No
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 JOHN FRIEDMAN
Signature Title PRESIDENT/CHAIR
Signature Date 10/13/2020

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