FORM 1023-EZ for VISTA WEST FOUNDATION HOME

Field Data
EIN 61-1711877
Case Number EO-2015233-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISTA WEST FOUNDATION HOME
Organization’s Mailing Address 1
City INGLEWOOD
State CA
ZIP 90303
Accounting period End 12
Primary contact name DR ALOYSIUS I UDEZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DR ALOYSIUS I UDEZE
DIRECTOR
11012 CHANERA AVENUE
INGLEWOOD CA 90303

Officer/Director/Trustee Two

MRS URSULA NNAMDI DIKE
OFFICER
13523 LEMOLI AVENUE
HAWTHORNE CA 90250

Officer/Director/Trustee Three

MR CHARLES CHUDY
OFFICER
4331 MONDAVI COURT
STOCKTON CA 95206

Officer/Director/Trustee Four

MR STANLEY UGO UDEZ
O
12613 VENICE BOULEVARD
LOS ANELES CA 90066

Organization’s website
Organization’s email UDEZE97@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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
Signature Title
Signature Date

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