FORM 1023-EZ for ADVENTURE THERAPY FOUNDATION

Field Data
EIN 61-1896557
Case Number EO-2018317-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVENTURE THERAPY FOUNDATION
Organization’s Mailing Address 1156 LAKE PARK DR
City OAKLEY
State CA
ZIP 94561
Accounting period End 1
Primary contact name LAUREN HUFFMASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFTON HUFFMASTER
COO
1156 LAKE PARK DR
OAKLEY CA 94561

Officer/Director/Trustee Two

GINA MCCARTHY
SECRETARY
6984 N MARIPOSA LN
DUBLIN CA 94568

Officer/Director/Trustee Three

LAUREN HUFFMASTER
DIRECTOR
1156 LAKE PARK DR
OAKLEY CA 94561

Organization’s website ADVENTURETHERAPYFOUNDATION.ORG
Organization’s email LAUREN@ADVENTURETHERAPYFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 No
Correctness Declaration Yes
Signature Name LAUREN HUFFMASTER
Signature Title DIRECTOR
Signature Date 11/9/18

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