FORM 1023-EZ for SAVING THE DREAM INC FFA ADOPTION &MENTAL HEALTH SERVICES

Field Data
EIN 81-3644134
Case Number EO-2019039-000666
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVING THE DREAM INC FFA ADOPTION &MENTAL HEALTH SERVICES
Organization’s Mailing Address 1099 SUNNYDALE AVENUE SUITE 326
City SAN FRANCISCO
State CA
ZIP 94134
Accounting period End 12
Primary contact name CARLETTTA JACKSON-LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLETTA JACKSON-LANE
CHIEF EXECUTIVE DIRECTOR
715 LAGUNA HONDA BLVD
SAN FRANCISCO CA 94127

Officer/Director/Trustee Two

MAXINE USSERY
SECERTARY
1140 FILLMORE STREET
SAN FRANCISCO CA 94115

Officer/Director/Trustee Three

ALMA JACKSON
CHIEF FINANCIAL OFFICER
401 YERBA BUENA AVENUE
SAN FRANCISCO CA 94127

Officer/Director/Trustee Four

JAMES JACKSON
BOARD DIRECTOR
45 ORA WAY A-204
SAN FRANCISCO CA 94131

Officer/Director/Trustee Five

JOSEPH LANE
BOARD PRESIDENT
45 ORA WAY A-204
SAN FRANCISCO CA 94131

Organization’s website PENDING
Organization’s email CJACKSONLANE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 CARLETTA JACKSON-LANE
Signature Title CHIEF EXECUTIVE DIRECTOR
Signature Date 2/4/19

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