FORM 1023-EZ for ACCESS TO RECOVERY

Field Data
EIN 47-1523741
Case Number EO-2017312-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACCESS TO RECOVERY
Organization’s Mailing Address PO BOX 17084
City IRVINE
State CA
ZIP 92623-9998
Accounting period End 12
Primary contact name KATHRYN ROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN ROM
PRESIDENT
4250 W 1ST ST 308
SANTA ANA CA 92703

Officer/Director/Trustee Two

JOSEPH HISEL
VICE PRESIDENT
7725 GATEWAY
IRVINE CA 92618

Officer/Director/Trustee Three

LAUREN BRITO
SECRETARY
7791 PACIFIC CIRCLE
MIDWAY CITY CA 92655

Organization’s website ACCESSTORECOVERY.ORG
Organization’s email INFO@ACCESSTORECOVERY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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