FORM 1023-EZ for AAA PLUS REHABILITATION

Field Data
EIN 83-3243333
Case Number EO-2019045-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AAA PLUS REHABILITATION
Organization’s Mailing Address 15981 YARNELL STREET NUMBER 261
City SYLMAR
State CA
ZIP 91342
Accounting period End 12
Primary contact name JOE PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE PEREZ
CHIEF EXECUTIVE OFFICER
15981 YARNELL STREET NUMBER 261
SYLMAR CA 91342

Officer/Director/Trustee Two

JOE PEREZ
SECRETARY
15981 YARNELL STREET NUMBER 261
SYLMAR CA 91342

Officer/Director/Trustee Three

JOE PEREZ
CHIEF FINANCIAL OFFICER
15981 YARNELL STREET NUMBER 261
SYLMAR CA 91342

Officer/Director/Trustee Four

KENNETH RODRIGUEZ
DIRECTOR
15981 YARNELL STREET NUMBER 261
SYLMAR CA 91342

Officer/Director/Trustee Five

GUADALUPE RODRIGUEZ
DIRECTOR
15981 YARNELL STREET NUMBER 261
SYLMAR CA 91342

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
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 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 JOE PEREZ
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 2/12/19

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