FORM 1023-EZ for SURFACE LA

Field Data
EIN 84-4419179
Case Number EO-2020307-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURFACE LA
Organization’s Mailing Address 4858 W PICO BLVD STE 189
City LOS ANGELES
State CA
ZIP 90036
Accounting period End 12
Primary contact name ASHALEE FANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHALEE FANN
CEO
4858 W PICO BLVD STE 189
LOS ANGELES CA 90019

Officer/Director/Trustee Two

KIANA HICKSONBOTTOM
TREASURER
4858 W PICO BLVD STE 189
LOS ANGELES CA 90019

Officer/Director/Trustee Three

ASHTON HASSON
SECRETARY
4858 W PICO BLVD STE 189
LOS ANGELES CA 90019

Organization’s website surfacela.org
Organization’s email surfacelosangeles@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 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 ASHALEE FANN
Signature Title CEO
Signature Date 10/29/2020

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