FORM 1023-EZ for JEWEL RESTORATION AND TRANSFORMATION INC

Field Data
EIN 61-1948240
Case Number EO-2021214-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEWEL RESTORATION AND TRANSFORMATION INC
Organization’s Mailing Address 13229 GOLD RUSH DR
City CORONA
State CA
ZIP 92883
Accounting period End 12
Primary contact name MIESHA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIESHA HARRIS
PRESIDENT DIRECTOR
13229 GOLD RUSH DR
CORONA CA 92883

Officer/Director/Trustee Two

APRIL THOMAS
SECRETARY DIRECTOR
200 W 104TH ST
LOS ANGELES CA 90003

Officer/Director/Trustee Three

DEMONDRE CLARK
TREASURER DIRECTOR
13229 GOLD RUSH DR
CORONA CA 92883

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
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: 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIESHA HARRIS
Signature Title PRESIDENT DIRECTOR
Signature Date 7/30/2021

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