FORM 1023-EZ for ANTELOPE VALLEY INTERGROUP OF ALCOHOLICS ANONYMOUS INC

Field Data
EIN 37-1824949
Case Number EO-2017116-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTELOPE VALLEY INTERGROUP OF ALCOHOLICS ANONYMOUS INC
Organization’s Mailing Address 43619 17TH STREET WEST STE 106
City LANCASTER
State CA
ZIP 93534
Accounting period End 12
Primary contact name JEFFREY L HARLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY HARLOW
OFFICE MANAGER
5115 COLUMBIA WAY
QUARTZ HILL CA 93536

Officer/Director/Trustee Two

VERONICA HARVEY
CHAIRPERSON
44836 LORIMER AVENUE
LANCASTER CA 93536

Officer/Director/Trustee Three

BRUCE LOVE
CO-CHAIR
29709 104TH STREET EAST
JUNIPER HILLS CA 93543

Officer/Director/Trustee Four

LESLIE GOWAN
SECRETARY
540 HERITAGE PLACE
PALMDALE CA 93551

Officer/Director/Trustee Five

DICK ONEAL
BOARD MEMBER
2339 EAST AVENUE J-8 NO1
LANCASTER CA 93536

Organization’s website WWW.AVCENTRALOFFICE.ORG
Organization’s email AVCENTRALOFFICE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
Organization’s purpose Charitable: No
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 Yes
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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