FORM 1023-EZ for CAMBRIA OPIOID PROJECT

Field Data
EIN 83-4504001
Case Number EO-2019115-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMBRIA OPIOID PROJECT
Organization’s Mailing Address PO BOX 1750
City CAMBRIA
State CA
ZIP 93428-121
Accounting period End 12
Primary contact name ROBERT KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT KELLEY
CHAIRPERSON
2496 LANGTON ST
CAMBRIA CA 93428-4722

Officer/Director/Trustee Two

MARYANN MULLIN
SECRETARY/TREASURER
250 HUNTINGTON RD
CAMBRIA CA 93428-3600

Officer/Director/Trustee Three

ALVIN FERRER
DIRECTOR
2222 MAIN ST
CAMBRIA CA 93428-3018

Officer/Director/Trustee Four

MIGUES HERNANDEZ MD
DIRECTOR
613 EXETER PL
CAMBRIA CA 93428-1917

Officer/Director/Trustee Five

BRAD LUMPKIN
DIRECTOR
2487 LANGTON ST
CAMBRIA CA 93428-4721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
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 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 ROBERT KELLEY
Signature Title CHAIRPERSON
Signature Date 4/23/19

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