FORM 1023-EZ for FRIENDS AND FAMILY OF THOSE WITH ADDICTIVE BEHAVIORS

Field Data
EIN 84-2061304
Case Number EO-2019169-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS AND FAMILY OF THOSE WITH ADDICTIVE BEHAVIORS
Organization’s Mailing Address 28 MAIN STREET
City BELGRADE
State ME
ZIP 4917-4422
Accounting period End 12
Primary contact name STEPHEN HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN HARDY
TREASURER
28 MAIN ST
BELGRADE ME 4917-4422

Officer/Director/Trustee Two

KAREN HARDY
SECRETARY
28 MAIN ST
BELGRADE ME 4917-4422

Officer/Director/Trustee Three

RENEE YVON NAPOLITANO
DIRECTOR
45 LINDEN STREET
ROCHESTER NH 3867

Officer/Director/Trustee Four

STEVE HESSELTINE
DIRECTOR
42 VICKIES WAY
MILFORD ME 4461

Organization’s website
Organization’s email MINDBODYSOULWELLNESSCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/19
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
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 KAREN HARDY
Signature Title SECRETARY
Signature Date 6/13/19

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