FORM 1023-EZ for DALTON FIRST STEP RECOVERY SERVICES

Field Data
EIN 46-3908990
Case Number EO-2016244-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DALTON FIRST STEP RECOVERY SERVICES
Organization’s Mailing Address 16200 BEAR VALLEY RD SUITE 110
City VICTORVILLE
State CA
ZIP 92395-8708
Accounting period End 5
Primary contact name SHARON BASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICAH BASS
CEO
16200 BEAR VALLEY RD SUITE 110
VICTORVIILE CA 92395-8708

Officer/Director/Trustee Two

SHARON BASS
SECRETARY/TREASURER
16200 BEAR VALLEY RD SUITE 110
VICTORVILLE CA 92395-8708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F16 -
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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