FORM 1023-EZ for CHEMICAL DEPENDENCY CENTER ALUMNI ASSOCIATION

Field Data
EIN 94-3008707
Case Number EO-2014246-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEMICAL DEPENDENCY CENTER ALUMNI ASSOCIATION
Organization’s Mailing Address 100 S SAN MATEO DR
City SAN MATEO
State CA
ZIP 94401
Accounting period End 12
Primary contact name BRENT MACQUEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENT MACQUEEN
PRESIDENT
5212 ADMIRALTY LANE
FOSTER CITY CA 94404

Officer/Director/Trustee Two

ANDREA SOBEL
1ST VICE PRESIDENT
100 S SAN MATEO DR
SAN MATEO CA 94401

Officer/Director/Trustee Three

BERNADTTE MCCARTHY
2ND VICE PRESIDENT
100 S SAN MATEO DR
SAN MATEO CA 94401

Officer/Director/Trustee Four

HEIDI ANDERSON
TREASURER
100 S SAN MATEO DR
SAN MATEO CA 94401

Officer/Director/Trustee Five

BETSY YAWN
SECRETARY
100 S SAN MATEO DR
SAN MATEO CA 94401

Organization’s website HTTP://CDCALUMNIASSOC.WEEBLY.COM/
Organization’s email MPHS.CDC.ALUMNI@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/1987
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: No
Religious: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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