FORM 1023-EZ for ALTA VISTA COMMUNITY RESOURCE CENTER

Field Data
EIN 81-1504927
Case Number EO-2017039-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALTA VISTA COMMUNITY RESOURCE CENTER
Organization’s Mailing Address 1530 E 6TH ST
City RENO
State NV
ZIP 89512
Accounting period End 2
Primary contact name CHRISTIE WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIE WHITE
PRESIDENT
2451 FARGO WAY
SPARKS NV 89434

Officer/Director/Trustee Two

SHAWN WHITE
VICE PRESIDENT
2451 FARGO WAY
SPARKS NV 89434

Officer/Director/Trustee Three

LISA ROGERS
SECRETARY
2215 EAGLE GREENS DR
RENO NV 89521

Officer/Director/Trustee Four

BRENDAN HARDIN
TREASURER
2236 BIG TRAIL CIRCLE
RENO NV 89521

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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