FORM 1023-EZ for ADDICTION INTERVENTION INC
| Field | Data |
|---|---|
| EIN | 81-2770938 |
| Case Number | EO-2017039-000159 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ADDICTION INTERVENTION INC |
| Organization’s Mailing Address | 10738 CRISWELL RD |
| City | FREDERICKSBURG |
| State | OH |
| ZIP | 44627-9719 |
| Accounting period End | 12 |
| Primary contact name | ROBERT WEAVER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBERT WEAVER
TRUSTEE
10622 CRISWELL RD
FREDERICKSBURG OH 44627-9719
Officer/Director/Trustee Two
EDDIE MILLER
TRUSTEE
8162 SEACREST RD
APPLE CREEK OH 44606-9124
Officer/Director/Trustee Three
DAVID HERSHBERGER
TRUSTEE
4899 TOWNSHIP RD 351
MILLERSBURG OH 44654-8784
Officer/Director/Trustee Four
DANIEL MILLER
TRUSTEE
6286 TOWNSHIP RD 310
MILLERSBURG OH 44654-9008
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/12/2016 |
| Organization Incorporation State | OH |
| 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: Yes Educational: Yes Scientific: Yes Literary: Yes 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 | Yes |
| 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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