FORM 1023-EZ for ADRENALINE EMERGENCY RESPONSE TRAINING

Field Data
EIN 83-1551020
Case Number EO-2018232-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADRENALINE EMERGENCY RESPONSE TRAINING
Organization’s Mailing Address 350 COMMERCIAL RD SUITE 104
City SAN BERNARDINO
State CA
ZIP 92408
Accounting period End 12
Primary contact name DANIEL JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL JORDAN
CHIEF FINANCIAL OFFICER
4926 WILTON PL
RIVERSIDE CA 92504

Officer/Director/Trustee Two

JONATHAN DENTON
CHIEF EXECUTIVE OFFICER
318 HERON LN
RIVERSIDE CA 92507

Officer/Director/Trustee Three

KERRI ANNE DENTON
SECRETARY
318 HERON LN
RIVERSIDE CA 92507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B30 - Vocational, Technical Schools
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 Yes
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 DANIEL JORDAN
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 8/15/18

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