FORM 1023-EZ for PALO VERDE VALLEY RECOVERY CENTER
| Field | Data |
|---|---|
| EIN | 47-5351424 |
| Case Number | EO-2020195-000265 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PALO VERDE VALLEY RECOVERY CENTER |
| Organization’s Mailing Address | PO BOX 1426 |
| City | BLYTHE |
| State | CA |
| ZIP | 92226 |
| Accounting period End | 12 |
| Primary contact name | PABLO GALVAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PABLO GALVAN
PRESIDENT
461 S 4TH ST
BLYTHE CA 92225-1649
Officer/Director/Trustee Two
ROSEMARY HERNANDEZ
SECRETARY/TREASURER
PO BOX 675
BLYTHE CA 92226
Officer/Director/Trustee Three
ROBIN WOODS
BOARD MEMBER
230 N BROADWAY
BLYTHE CA 92225
Officer/Director/Trustee Four
ROCHELLA EDWARDS
BOARD MEMBER
PO BOX 428
BLYTHE CA 92226
Officer/Director/Trustee Five
MELISSA MARTIN
BOARD MEMBER
461 S 4TH ST
BLYTHE CA 92225
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/14/2015 |
| 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: 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | PABLO GALVAN |
| Signature Title | PRESIDENT |
| Signature Date | 6/8/2020 |
| EIN | 47-5351424 |
| Case Number | EO-2015296-000312 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PALO VERDE VALLEY RECOVERY CENTER |
| Organization’s Mailing Address | 128 SOUTH BROADWAY |
| City | BLYTHE |
| State | CA |
| ZIP | 92225-1649 |
| Accounting period End | 12 |
| Primary contact name | ROBIN WOODS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
PABLO GALVAN
PRESIDENT
461 SOUTH 4TH STREET
BLYTHE CA 92225
Officer/Director/Trustee Two
ROSEMARY HERNANDEZ
SECRETARY/TREASURER
PO BOX 675
BLYTHE CA 92226
Officer/Director/Trustee Three
ROBIN WOODS
BOARD MEMBER
230 NORTH BROADWAY
BLYTHE CA 92225
Officer/Director/Trustee Four
ROCHELLA EDWARDS
BOARD MEMBER
PO BOX 428
BLYTHE CA 92226
Officer/Director/Trustee Five
MELISSA MARTIN
BOARD MEMBER
461 SOURTH 4TH STREET
BLYTHE CA 92225
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/14/2015 |
| 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: 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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