FORM 1023-EZ for MOUNTAIN HIGH RECOVERY CENTER

Field Data
EIN 84-3156753
Case Number EO-2020027-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN HIGH RECOVERY CENTER
Organization’s Mailing Address PO BOX 19007
City SOUTH LAKE TAHOE
State CA
ZIP 96151
Accounting period End 12
Primary contact name ALLISON HIBBARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON HIBBARD
EXECUTIVE DIRECTOR
2580 KUBEL AVE
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Two

CRISTINA TIBBETTS
SECRETARY
1846 JICARILLA DR
SOUTH LAKE TAHOE CA 96150

Organization’s website MOUNTAINHIGHRECOVERY.ORG
Organization’s email INFO@MOUNTAINHIGHRECOVERY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2019
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: 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLISON HIBBARD
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/23/2020

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