FORM 1023-EZ for ANOTHER CHOICE ANOTHER CHANCE - ELDORADO HILLS

Field Data
EIN 47-4028926
Case Number EO-2015258-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANOTHER CHOICE ANOTHER CHANCE - ELDORADO HILLS
Organization’s Mailing Address 5170 GOLDEN FOOTHILL PARKWAY
City EL DORADO HILLS
State CA
ZIP 95762
Accounting period End 10
Primary contact name VANNESSA LINDSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE COTSURILOS
BOARD MEMBER
3313 BESANA DRIVE
EL DORADO HILLS CA 95762

Officer/Director/Trustee Two

DENISE BUDMARK
TREASURER
4784 VILLAGE GREEN DRIVE
EL DORADO HILLS CA 95762

Officer/Director/Trustee Three

JACK BUDMARK
VICE PRESIDENT
4784 VILLAGE GREEN DRIVE
EL DORADO HILLS CA 95762

Officer/Director/Trustee Four

MARGARET VARELA
SECRETARY
3015 WATERMAN COURT
EL DORADO HILLS CA 95762

Officer/Director/Trustee Five

ASHOOB SALIMI
PRESIDENT
5170 GOLDEN FOOTHILL PARKWAY
EL DORADO HILLS CA 95762

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 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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