FORM 1023-EZ for INCLUSIVE RECOVERY FOUNDATION

Field Data
EIN 83-1847263
Case Number EO-2019092-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INCLUSIVE RECOVERY FOUNDATION
Organization’s Mailing Address 406 LAKE MONTEREY CIRCLE
City BOYNTON BEACH
State FL
ZIP 33426
Accounting period End 12
Primary contact name RYAN TERKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN TERKER
TRUSTEE
300 VILLAGE DRIVE UNIT 562
KING OF PRUSSIA PA 19406

Officer/Director/Trustee Two

JOHN PULS
TRUSTEE
406 LAKE MONTEREY CIRCLE
BOYNTON BEACH FL 33426

Officer/Director/Trustee Three

DAVID ERICHSEN
TRUSTEE
5961 NW 2ND AVENUE APARTMENT 201
BOCA RATON FL 33487

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/18
Organization Incorporation State DE
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 No
Correctness Declaration Yes
Signature Name RYAN TERKER
Signature Title TRUSTEE
Signature Date 3/31/19

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