FORM 1023-EZ for ANTELOPE VALLEY INTERGROUP OF ALCOHOLICS ANONYMOUS

Field Data
EIN 95-3892717
Case Number EO-2015272-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTELOPE VALLEY INTERGROUP OF ALCOHOLICS ANONYMOUS
Organization’s Mailing Address 43619 17TH STREET WEST STE 106
City LANCASTER
State CA
ZIP 93534-4626
Accounting period End 12
Primary contact name JEFFREY HARLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY HARLOW
OFFICE MANAGER
PO BOX 6163
LANCASTER CA 93539

Officer/Director/Trustee Two

STEVE ARNOLD
CHAIRMAN
44916 10TH STREET WEST APT 211
LANCASTER CA 93534

Officer/Director/Trustee Three

DAVE SPANN
CO-CHAIR
1605 WEST AVENUE P6
PALMDALE CA 93551

Officer/Director/Trustee Four

BRIAN MENDOZA
SECRETARY
140 HORIZON ROAD
PALMDALE CA 93551

Organization’s website AVCENTRALOFFICE.ORG
Organization’s email AVCENTRALOFFICE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1982
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 No
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
Signature Title
Signature Date

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