FORM 1023-EZ for MAENONS RESIDETIAL TREATMENT PROGRAM

Field Data
EIN 82-3096948
Case Number EO-2017291-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAENONS RESIDETIAL TREATMENT PROGRAM
Organization’s Mailing Address 1903 FLOYD AVE
City MODESTO
State CA
ZIP 95355
Accounting period End 6
Primary contact name MAENON THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAENON THOMAS
CEO
1903 FLOYD AVE
MODESTO CA 95355

Officer/Director/Trustee Two

BELINDA JAMES
SECRETARY
1751 CARROLL AVE NO 523
SAN FRANCISCO CA 94124

Officer/Director/Trustee Three

ROBERT GENTRY
CFO
1900 OAKDALE RD NO 123
MODESTO CA 95355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 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 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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