| Field | Data |
|---|---|
| EIN | 90-0892534 |
| Case Number | EO-2015238-000166 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ALS EMERGENCY TREATMENT FUND |
| Organization’s Mailing Address | 2196 GLENKIRK DRIVE |
| City | SAN JOSE |
| State | CA |
| ZIP | 95124-1221 |
| Accounting period End | 12 |
| Primary contact name | JESS RABOURN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
JESS RABOURN
EXECUTIVE DIRECTOR AND BOARD MEMBER
2196 GLENKIRK DRIVE
SAN JOSE CA 95124-1221
ERIC VALOR
BOARD MEMBER
930 WALLACE AVENUE
APTOS CA 95003-4123
LYNN KLEIN
BOARD MEMBER
8401 FARRALONE AVENUE
WEST HILLS CA 91304-2317
MARK BOULDING
BOARD MEMBER
100 CORPORATE COURT
SOUTH PLAINFIELD NC 07080-2400
RICHARD BEDLACK
BOARD MEMBER
932 MORREENE ROAD -BOX 3333
DURHAM CA 27705-4410
| Organization’s website | WWW.ALSETF.ORG |
|---|---|
| Organization’s email | JESS.RABOURN@ALSETF.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/28/2012 |
| Organization Incorporation State | DE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G50 - Nerve, Muscle and Bone Diseases |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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