FORM 1023-EZ for THE OLIVE BRANCH DEVELOPMENT EMPOWERMENT SERVICES INC

Field Data
EIN 47-4131612
Case Number EO-2015175-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OLIVE BRANCH DEVELOPMENT EMPOWERMENT SERVICES INC
Organization’s Mailing Address 9350 ASPEN ST
City BLOOMINGTON
State CA
ZIP 92316
Accounting period End 12
Primary contact name ANGELA MCCLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA MCCLAIN
BOARD CHAIR CEO
9350 ASPEN ST
BLOOMINGTON CA 92316

Officer/Director/Trustee Two

SCOTT MCCLAIN
TREASURER
9350 ASPEN ST
BLOOMINGTON CA 92316

Officer/Director/Trustee Three

LAYLA GONZALEZ
SECRETARY
9350 ASPEN ST
BLOOMINGTON CA 92316

Officer/Director/Trustee Four

SYLVIA CRABTREE
DIRECTOR
9350 ASPEN ST
BLOOMINGTON CA 92316

Officer/Director/Trustee Five

NORMA GUERRERO
DIRECTOR
9350 ASPEN ST
BLOOMINGTON CA 92316

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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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