FORM 1023-EZ for ONE RECOVERY

Field Data
EIN 47-4459381
Case Number EO-2018267-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE RECOVERY
Organization’s Mailing Address 649 SANTA CLARA AVENUE
City VENICE
State CA
ZIP 90291
Accounting period End 12
Primary contact name LYNNE PEDERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNNE PEDERSEN
PRESIDENT
649 SANTA CLARA AVENUE
VENICE CA 90291

Officer/Director/Trustee Two

CHELSEA REEVES
DIRECTOR-SECRETARY
3309 SEASHOREDR
NEWPORT BEACH CA 92663

Officer/Director/Trustee Three

JASMIN BUTLER
TREASURER
849 GLENDON COURT
SOUTH PASADENA CA 91030

Organization’s website WWW.1RECOVERY.COM
Organization’s email LYNNE@1RECOVERY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/15
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNNE PEDERSEN
Signature Title PRESIDENT
Signature Date 9/20/18
EIN 47-4459381
Case Number EO-2016120-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE RECOVERY
Organization’s Mailing Address 649 SANTA CLARA AVENUE
City VENICE
State CA
ZIP 90291
Accounting period End 12
Primary contact name LYNNE PEDERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LYNNE PEDERSEN
DIRECTOR AND PRESIDENT
649 SANTA CLARA AVENUE
VENICE CA 90291

Officer/Director/Trustee Two

DANIELLA PETERS
DIRECTOR AND TREASURER
22500 MARLIN PLACE
WEST HILLS CA 91307

Officer/Director/Trustee Three

CHARLOTTE JEYS
DIRECTOR AND SECRETARY
24 COVENTRY LANE
ALISO VIEJO CA 92656

Organization’s website WWW.1RECOVERY.COM
Organization’s email INSPIRE@1RECOVERY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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