FORM 1023-EZ for INDIANA RECOVERY ALLIANCE

Field Data
EIN 47-3889160
Case Number EO-2015140-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA RECOVERY ALLIANCE
Organization’s Mailing Address 2417 WOOLERY MILL DR
City BLOOMINGTON
State IN
ZIP 47403
Accounting period End 1
Primary contact name CHRISTOPHER ABERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER ABERT
CHAIRMAN
2417 WOOLERY MILL DR
BLOOMINGTON IN 47403

Officer/Director/Trustee Two

MIKE EMMETT
SECRETARY
1250 OLD CAPITAL PIKE
BLOOMINGTON IN 47403

Officer/Director/Trustee Three

DAWN MCDOWELL
TREASURER
2417 WOOLERY MILL DR
BLOOMINGTON IN 47402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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