FORM 1023-EZ for AVENUE THIRTEEN CHRONIC RELAPSE SOLUTION INC

Field Data
EIN 84-4357917
Case Number EO-2020023-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVENUE THIRTEEN CHRONIC RELAPSE SOLUTION INC
Organization’s Mailing Address PO BOX 10615
City EUGENE
State OR
ZIP 97440
Accounting period End 12
Primary contact name BRADLEY BYRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY BYRD
PRESIDENT
PO BOX 10615
EUGENE OR 97440

Officer/Director/Trustee Two

JANE GRIFFIN BYRD
TREASURER
PO BOX 10615
EUGENE OR 97440

Officer/Director/Trustee Three

JULIA BABB
SECRETARY
PO BOX 10615
EUGENE OR 97440

Organization’s website
Organization’s email BBYRD@PROTONMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
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 BRADLEY BYRD
Signature Title PRESIDENT
Signature Date 1/21/2020

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