FORM 1023-EZ for SCHOOL KIDS FIGHT ASTHMA

Field Data
EIN 47-2923950
Case Number EO-2015068-000938
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCHOOL KIDS FIGHT ASTHMA
Organization’s Mailing Address 624 INDIAN OAK LANE UNIT 105
City OAK PARK
State CA
ZIP 91377-5665
Accounting period End 12
Primary contact name PORTER JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PORTER JORDAN
PRESIDENT/CEO
624 INDIAN OAK LANE UNIT 105
OAK PARK CA 91377-5665

Officer/Director/Trustee Two

YOLANDA MILLER
SECRETARY AND TREASURER
701 S DOVER STREET
ANAHEIM CA 92805

Officer/Director/Trustee Three

ED GATELY
DIRECTOR
2250 VISTA DEL MAR
LOS ANGELES CA 90068

Officer/Director/Trustee Four

ANGIE RANDOLPH
DIRECTOR
5785 OAK BANK TRAIL
OAK PARK CA 91377

Officer/Director/Trustee Five

RICK SIMONTON
DIRECTOR
10414 JOHANNA AVE
SHADOW HILLS CA 91040

Organization’s website NONE
Organization’s email PORTERJORDAN@ROADRUNNER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G61 - Asthma
Organization’s purpose Charitable: Yes
Religious: No
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 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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