FORM 1023-EZ for NORAS TLC CLEAN AND SOBER SECOND CHANCE

Field Data
EIN 61-1675566
Case Number EO-2017258-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORAS TLC CLEAN AND SOBER SECOND CHANCE
Organization’s Mailing Address 1308 W ROBINHOOD DRIVE
City STOCKTON
State CA
ZIP 95207
Accounting period End 12
Primary contact name NORA FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORA FOX
CEO
9046 CHIANTI CIRCLE
STOCKTON CA 95212

Officer/Director/Trustee Two

JOHN HOWARD
PRESIDENT
9046 CHIANTI CIRCLE
STOCKTON CA 95212

Officer/Director/Trustee Three

HERMAN FOX
VICE PRESIDENT
1840 FORT HALL PLACE
STOCKTON CA 95206

Officer/Director/Trustee Four

JONELLE WHITING
TREASURE
856 HELLYER AVE
SAN JOSE CA 95111

Officer/Director/Trustee Five

ASHLEY BARNEY
SECRETARY
2310 PILGRIM
STOCKTON CA 95206

Organization’s website NORASTLC.ORG
Organization’s email GEOFF@GAPTRIO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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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