FORM 1023-EZ for HOLLYWOOD & VINE RECOVERY CENTER

Field Data
EIN 95-4374906
Case Number EO-2021230-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLYWOOD & VINE RECOVERY CENTER
Organization’s Mailing Address 9950 TOPANGA CANYON BLVD UNIT 28
City CHATSWORTH
State CA
ZIP 91311
Accounting period End 6
Primary contact name TIMOTHY WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNECA PEOPLES
DIRECTOR OF OPERATIONS
9950 TOPANGA CANYON BLVD UNIT 28
CHATSWORTH CA 91311-8337

Officer/Director/Trustee Two

TIMOTHY WALSH
DIRECTOR OF FINANCE
9950 TOPANGA CANYON BLVD UNIT 28
CHATSWORTH CA 91311-8337

Organization’s website HOLLYWOODANDVINERECOVERY.COM
Organization’s email HOLLYWOODANDVINERECOVERY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/1992
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
Correctness Declaration Yes
Signature Name TIMOTHY WALSH
Signature Title DIRECTOR OF FINANCE
Signature Date 8/17/2021

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