FORM 1023-EZ for DEEPER STILL - FALLBROOK

Field Data
EIN 47-1907484
Case Number EO-2014274-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEEPER STILL - FALLBROOK
Organization’s Mailing Address 6132 RAINBOW HEIGHTS RD
City FALLBROOK
State CA
ZIP 92028-8847
Accounting period End 12
Primary contact name MIRIAM KIRK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN REYNOSO
EXECUTIVE DIRECTOR
11170 HERCULES WAY
MIRA LOMA CA 91752-2013

Officer/Director/Trustee Two

MIRIAM KIRK
TREASURER
6132 RAINBOW HEIGHTS RD
FALLBROOK CA 92028-8847

Officer/Director/Trustee Three

CINDY MCAVOY
CHAIRPERSON
1638 PALA LAKE DR
FALLBROOK CA 92028-4911

Officer/Director/Trustee Four

GAYLE KOTT
SECRETARY
39204 DE LUZ RD
FALLBROOK CA 92028-8545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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