FORM 1023-EZ for MABIS CIRCLE OF LOVING HANDS

Field Data
EIN 86-2317412
Case Number EO-2021095-000603
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MABIS CIRCLE OF LOVING HANDS
Organization’s Mailing Address 5163 VILLAGE GREEN
City LOS ANGELES
State CA
ZIP 90016
Accounting period End 12
Primary contact name SHAWNA PETTIGREW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS NOBREUS
PRESIDENT
5917 BARTON AVE 105
LOS ANGELES CA 90038-3023

Officer/Director/Trustee Two

SHAWNA PETTIGREW
CFO
5163 VILLAGE GREEN
LOS ANGELES CA 90016-5205

Officer/Director/Trustee Three

NICOLE ROWLAND
CHAIRPERSON OF GOVERNING BODY
98 CROWLEY LAKE DR
CROWLEY LAKE CA 93546-9745

Officer/Director/Trustee Four

NERISSA HSU
CAO
10734 ROSE AVE APT 10734
LOS ANGELES CA 90034

Officer/Director/Trustee Five

AMANDA FRIEDMAN
OUTREACH
6105 SE 32ND ST
MERCER ISLAND WA 98040-2441

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2021
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: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCUS NOBREUS
Signature Title PRESIDENT
Signature Date 3/8/2021

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