FORM 1023-EZ for SUMMIT SOBER LIVING INC

Field Data
EIN 85-2164135
Case Number EO-2021063-000059
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMIT SOBER LIVING INC
Organization’s Mailing Address 64 STASIA DR
City NOVATO
State CA
ZIP 94947
Accounting period End 12
Primary contact name JOHN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA TRIOLO
VICE PRESIDENT
64 STASIA DR
NOVATO CA 94947

Officer/Director/Trustee Two

MICHAEL TRIOLO
PRESIDENT/FOUNDER/CEO
64 STASIA DR
NOVATO CA 94947

Officer/Director/Trustee Three

JIM RICCI
TREASURER
255 FIG COURT
ROHNERT PARK CA 94928

Officer/Director/Trustee Four

ALAN MILLER
SECRETARY
3918 STOVER ST
NAPA CA 94558

Officer/Director/Trustee Five

MIKE LAMORTE
DIRECTOR
684 ORANGE AVE
NOVATO CA 94945

Organization’s website HTTP://WWW.SUMMITSOBERLIVING.ORG
Organization’s email MTRECOVERYSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2020
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: 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 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 MICHAEL TRIOLO
Signature Title PRESIDENT/FOUNDER/CEO
Signature Date 12/29/2020

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