FORM 1023-EZ for DR BEN INOUYE AND DR LISA J PALMERFOUNDATION FOR FAMILY

Field Data
EIN 84-4199825
Case Number EO-2021099-001291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR BEN INOUYE AND DR LISA J PALMERFOUNDATION FOR FAMILY
Organization’s Mailing Address 10112 LONE DOVE STREET
City SAN DIEGO
State CA
ZIP 92127
Accounting period End 12
Primary contact name LISA J PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA PALMER
PRES/TREASURER/DIRECTOR/FOUNDER
10112 LONE DOVE STREET
SAN DIEGO CA 92127

Officer/Director/Trustee Two

RICHARD PALMER
SECRETARY
14420 CYPRESS POINTE
POWAY CA 92064

Organization’s website
Organization’s email LISAPALMEROLSEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 LISA PALMER
Signature Title PRES/TREASURER/DIRECTOR/FOUNDER
Signature Date 3/25/2021

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