FORM 1023-EZ for WESTERN DOCTORS IN RECOVERY

Field Data
EIN 83-4019809
Case Number EO-2019231-000496
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN DOCTORS IN RECOVERY
Organization’s Mailing Address 1115 ROSE AVENUE
City OAKLAND
State CA
ZIP 94611-4346
Accounting period End 12
Primary contact name TERESA RHYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEL POHL
PRESIDENT & DIRECTOR
3371 NORTH BUFFALO
LAS VEGAS NV 89129-6283

Officer/Director/Trustee Two

JENNY MELAMED
SECRETARY & DIRECTOR
1115 ROSE AVENUE
OAKLAND CA 94611-4346

Officer/Director/Trustee Three

RAY GLENDRANGE
TREASURER & DIRECTOR
4605 BROCKTON AVE SUITE 100
RIVERSIDE CA 92506-107

Officer/Director/Trustee Four

BOBBI SPECHT
DIRECTOR
11000 GHIRHARD
TRUCKEE CA 96160-2573

Officer/Director/Trustee Five

TRACY ZEMANSKY
DIRECTOR
3231 OCEAN PARK BLVD SUITE 201
SANTA MONICA CA 90405-3232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAY GLENDRANGE
Signature Title TREASURER & DIRECTOR
Signature Date 8/16/19

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