FORM 1023-EZ for THE OLIVE TREE SOBER LIVING

Field Data
EIN 84-4544206
Case Number EO-2020071-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE OLIVE TREE SOBER LIVING
Organization’s Mailing Address 106 REBECCA DR
City LAFAYETTE
State LA
ZIP 70508
Accounting period End 12
Primary contact name JACOB TRICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB TRICKEY
PRESIDENT
2049 BAYOU BEND ROAD
BOSSIER CITY LA 71111

Officer/Director/Trustee Two

CHRIS DELANEY
TREASURER
106 REBECCA DRIVE
LAFAYETTE LA 70508

Officer/Director/Trustee Three

109GLENN STDAMON DOUCET
SECRETARY
109 GLENN ST
BROUSSARD LA 70518

Organization’s website THEOLIVETREESOBERLIVING.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACOB TRICKEY
Signature Title PRESIDENT
Signature Date 3/9/2020

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