| Field | Data |
|---|---|
| EIN | 84-4111240 |
| Case Number | EO-2020006-000322 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LCOI- LAKE COUNTY OPIOID INITIATIVEINC |
| Organization’s Mailing Address | 259 SPRING VALLEY WAY |
| City | ROUND LAKE |
| State | IL |
| ZIP | 60073-9543 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM GENTES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MIKE NERHEIM
CHAIRMAN
34959 NORTH OAK KNOLL CIRCLE
GURNEE IL 60031
BRUCE JOHNSON
TREASURER
416 SOUTH GROVE
BARRINGTON IL 60010
WILLIAM GENTES
EXECUTIVE DIRECTOR
259 SPRING VALLEY WAY
ROUND LAKE IL 60073
| Organization’s website | HTTPS://WWW.OPIOIDINITIATIVE.ORG/ |
|---|---|
| Organization’s email | WGENTES@DRUGFREELAKECOUNTY.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/31/2019 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| 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 | 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 | WILLIAM GENTES |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 1/2/2020 |
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