| Field | Data |
|---|---|
| EIN | 46-2688472 |
| Case Number | EO-2016053-000388 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ANXIETY GAMING INC |
| Organization’s Mailing Address | 3737 LOCUST |
| City | LONG BEACH |
| State | CA |
| ZIP | 90807 |
| Accounting period End | 5 |
| Primary contact name | JASON DOCTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
JASON DOCTON
DIRECTOR
3737 LOCUST
LONG BEACH CA 90807
DAVID RODRIGUEZ
DIRECTOR
510 N BURLINGTON AVE
LOS ANGELES CA 90026
SPENCER SMITH
DIRECTOR
3737 LOCUST AVE
LONG BEACH CA 90806
PRISCILLA VILLALOBOS
OFFICER
4819 MATNEY AVE
LONG BEACH CA 90807
LARA PEREZ
OFFICER
6TH EAST ST UNIT 101
LONG BEACH CA 90802
| Organization’s website | ANXIETYGAMING.COM |
|---|---|
| Organization’s email | JASON@ANXIETYGAMING.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/9/2013 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| 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 | |
| EIN | 46-2688472 |
| Case Number | EO-2015064-000142 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ANXIETY GAMING INC |
| Organization’s Mailing Address | 3737 LOCUST |
| City | LONG BEACH |
| State | CA |
| ZIP | 90807 |
| Accounting period End | 5 |
| Primary contact name | JASON DOCTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
JASON DOCTON
DIRECTOR
3737 LOCUST
LONG BEACH CA 90807
DAVID RODRIGUEZ
DIRECTOR
510 N BURLINGTON AVE
LOS ANGELES CA 90026
BRETT CLOUD
DIRECTOR
325 W 31ST ST
LONG BEACH CA 90806
PRISCILLA VILLALOBOS
OFFICER
4819 MATNEY AVE
LONG BEACH CA 90807
LARA PEREZ
OFFICER
6TH EAST ST UNIT 101
LONG BEACH CA 90802
| Organization’s website | ANXIETYGAMING.COM |
|---|---|
| Organization’s email | JASON@ANXIETYGAMING.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/9/2013 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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