FORM 1023-EZ for BACK ON TRACK I INC

Field Data
EIN 87-2291075
Case Number EO-2021256-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK ON TRACK I INC
Organization’s Mailing Address 8698 ELK GROVE BLVD 168
City ELK GROVE
State CA
ZIP 95624
Accounting period End 12
Primary contact name STERLING PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STERLING PATTERSON
CEO
8698 ELK GROVE BLVD 168
ELK GROVE CA 95624

Officer/Director/Trustee Two

CLARA BROWN
CFO
8698 ELK GROVE BLVD 168
ELK GROVE CA 95624

Officer/Director/Trustee Three

SAMMY GRAY
SECRETARY
8698 ELK GROVE BLVD 168
ELK GROVE CA 95624

Organization’s website BACK ON TRACK I INC
Organization’s email 916BACKONTRACK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 STERLING PATTERSON
Signature Title CEO
Signature Date 9/10/2021

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