FORM 1023-EZ for SOBER LIVING SERVICES

Field Data
EIN 46-2638574
Case Number EO-2015007-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOBER LIVING SERVICES
Organization’s Mailing Address 12006 10TH AVE SOUTH
City SEATTLE
State WA
ZIP 98168
Accounting period End 12
Primary contact name SEAN GAY 206-661-0911
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN MICERA
VICE PRESIDENT
12265 16TH AVE SOUTH
SEATTLE WA 98168

Officer/Director/Trustee Two

BRENDA NELSON
DIRECTOR
12006 10TH AVE SOUTH
SEATTLE WA 98168

Officer/Director/Trustee Three

SEAN GAY
PRESIDENT
12006
SEATTLE WA 98168

Organization’s website SOBERLIVINGSERVICES.VPWEB.COM
Organization’s email LUCKYSEAN1967@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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