FORM 1023-EZ for ARXMI THE ADDICTION RESEARCH MISSION

Field Data
EIN 81-3404039
Case Number EO-2016314-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARXMI THE ADDICTION RESEARCH MISSION
Organization’s Mailing Address 83164 DILLION AVE
City INDIO
State CA
ZIP 92201-3318
Accounting period End 12
Primary contact name CHRIS CAUHAPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS CAUHAPE
CHIEF OPERATING OFFICER
83164 DILLION AVE
INDIO CA 92201-3318

Officer/Director/Trustee Two

JOHN DALLOSTA
CHIEF FINANCIAL OFFICER
1279 MALIBU CT
TULARE CA 93274-9405

Officer/Director/Trustee Three

TOMASITO NAPALAN
CHAIRPERSON OF BOARD
39105 DINAH SHORE 36
CATHEDRAL CITY CA 92234-2010

Officer/Director/Trustee Four

KIMBERLY BARRAZA
TRUSTEE
45401 KING ST
INDIO CA 92201-3818

Officer/Director/Trustee Five

RUBEN GONZALEZ
TRUSTEE
50-471 POLK ST
COACHELLA CA 92236-3729

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
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 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 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
Signature Title
Signature Date

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