FORM 1023-EZ for ENCOMPASS YOUTH AND FAMILY SERVICES

Field Data
EIN 83-3996654
Case Number EO-2019081-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ENCOMPASS YOUTH AND FAMILY SERVICES
Organization’s Mailing Address 27124 PASEO ESPADA STE 801
City SAN JUAN CAPISTRANO
State CA
ZIP 92675-2741
Accounting period End 12
Primary contact name NINA DREYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA DREYER
SECRETARY
6 PUERTO ROYAL
SAN CLEMENTE CA 92672

Officer/Director/Trustee Two

DAVE BRISBIN
PRESIDENT
1222 VIA PRESA
SAN CLEMENTE CA 92672

Officer/Director/Trustee Three

MARIAN BRISBIN
VICE PRESIDENT
1222 VIA PRESA
SAN CLEMENTE CA 92672

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NINA DREYER
Signature Title SECRETARY
Signature Date 3/20/19

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