FORM 1023-EZ for THE IDD MI DUAL-DIAGNOSED AWARENESSFOUNDATION INC

Field Data
EIN 47-4378685
Case Number EO-2016201-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE IDD MI DUAL-DIAGNOSED AWARENESSFOUNDATION INC
Organization’s Mailing Address 16302 STATE ROAD 148
City AURORA
State IN
ZIP 47001
Accounting period End 12
Primary contact name CLAUDIA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDIA MILLER
PRESIDENT FOUNDER
16302 STATE ROAD 148
AURORA IN 47001

Officer/Director/Trustee Two

JENNIFER ANGLIN
BOARD MEMBER
335 SOUTH MULBERRY STREET
RISING SUN IN 47040

Officer/Director/Trustee Three

MARY LUCAS
BOARD MEMBER
13155 BANK STREET
DILLSBORO IN 47018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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