FORM 1023-EZ for MOUNTAINEER REGION OF NARCOTICS ANONYMOUS

Field Data
EIN 55-0764283
Case Number EO-2019135-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAINEER REGION OF NARCOTICS ANONYMOUS
Organization’s Mailing Address PO BOX 2381
City MORGANTOWN
State WV
ZIP 26502
Accounting period End 12
Primary contact name NICK LAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK LAWSON
CHAIR
516 DREW STREET APT 4
ST ALBANS WV 25177-1

Officer/Director/Trustee Two

ANANT VENKATARAMAN
VICE CHAIR
398 FRONTIER AVE
MORGANTOWN WV 26505-200

Officer/Director/Trustee Three

KRISLYN GORDON
TREASURER I
111 VINE STREET
FAIRMONT WV 26554-9143

Officer/Director/Trustee Four

CANDIE BENEDICT
TREASURER II
14954 SENECA TRAIL N
LEWISBURG WV 24901-1553

Officer/Director/Trustee Five

BEVERLY RIFFE
SECRETARY
1832 FRANKLIN STREET
BLUEFIELD WV 24702-1

Organization’s website MRSCNA.ORG
Organization’s email MOUNTAINEER.REGIO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/07
Organization Incorporation State WV
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: 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 CANDIE BENEDICT
Signature Title TREASURER II
Signature Date 5/13/19

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