FORM 1023-EZ for HEROIN ANONYMOUS WORLD SERVICES INC

Field Data
EIN 20-1939444
Case Number EO-2020169-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROIN ANONYMOUS WORLD SERVICES INC
Organization’s Mailing Address 24 W CAMELBACK RD SUITE A
City PHOENIX
State AZ
ZIP 85013
Accounting period End 12
Primary contact name MONICA STERN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL LAUGHLIN
CHAIRMAN OF BOARD/PRESIDENT
24 W CAMELBACK RD SUITE A
PHOENIX AZ 85013

Officer/Director/Trustee Two

ADAM DAVEY
SECRETARY
24 W CAMELBACK RD SUITE A
PHOENIX AZ 85013

Officer/Director/Trustee Three

JOSHUA QUINN
TREASURER
24 W CAMELBACK RD SUITE A
PHOENIX AZ 85013

Officer/Director/Trustee Four

CHRISTOPHER GISRIEL
DIRECTOR
24 W CAMELBACK RD SUITE A
PHOENIX AZ 85013

Officer/Director/Trustee Five

DAVID SLACK
DIRECTOR
24 W CAMELBACK RD SUITE A
PHOENIX AZ 88013

Organization’s website WWW.HEROINANONYMOUS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2005
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name JOSHUA QUINN
Signature Title TREASURER
Signature Date 6/15/2020
EIN 20-1939444
Case Number EO-2015022-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEROIN ANONYMOUS WORLD SERVICES INC
Organization’s Mailing Address 1818 E WILETTA ST
City PHOENIX
State AZ
ZIP 85006
Accounting period End 7
Primary contact name AIDEN FISHBEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS THAYER
CHAIRMAN
1818 E WILETTA ST
PHOENIX AZ 85006

Officer/Director/Trustee Two

MAGGIE LEONARD-RIVERA
OTHER OFFICER
1818 E WILETTA ST
PHOENIX AZ 85006

Officer/Director/Trustee Three

CHRISTOPHER GISRIEL
OTHER OFFICER
7015 N 10TH PL
PHOENIX AZ 85020

Officer/Director/Trustee Four

SHARMYN TOWNSEND
SECRETARY
1706 N 16TH AVENUE
PHOENIX AZ 85007

Officer/Director/Trustee Five

AIDEN FISHBEIN
TREASURER
2500 MAGNOLIA ST
OAKLAND CA 94607

Organization’s website WWW.HEROINANONYMOUS.ORG
Organization’s email HEROINANONYMOUSWORLDSERVICES@GOOGLEGROUPS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2005
Organization Incorporation State AZ
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 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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