FORM 1023-EZ for SAN LUIS OBISPO COUNTY SOBER LIVINGINC

Field Data
EIN 82-4770042
Case Number EO-2018229-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN LUIS OBISPO COUNTY SOBER LIVINGINC
Organization’s Mailing Address 506 S SPRING ST 13308 SMB 2087
City LOS ANGELES
State CA
ZIP 90013
Accounting period End 12
Primary contact name RUSSELL MCCORMICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSSELL MCCORMICK
PRESIDENT/TREASURER
PO BOX 12
MORRO BAY CA 93443

Officer/Director/Trustee Two

CHUCK HOLDEN
VICE PRESIDENT/ DIRECTOR
1229 VISTA DELA MONTANA
SAN LUIS OBISPO CA 93405

Officer/Director/Trustee Three

KIM DOUGLESS
SECRATERY/TRUSTEE
720 E MYRTLE AVE
VISALIA CA 93292

Officer/Director/Trustee Four

KATHY CADY
TRUSTEE/DIRECTOR
459 TRINADAD ST
MORRO BAY CA 93442

Officer/Director/Trustee Five

DAN BIRTCHFIELD
TRUSTEE/DIRECTOR
1229 VISTA DELA MONTANA
SAN LUIS OBISPO CA 93405

Organization’s website HTTPS://RUSSELLMCCORMICK.
Organization’s email RUSSELLMCCORMICK@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
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 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 RUSSELL MCCORMICK
Signature Title PRESIDENT/TREASURER
Signature Date 8/14/18

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