FORM 1023-EZ for WESTERN MAINE ADDICTION RECOVERY INITIATIVE

Field Data
EIN 84-2181752
Case Number EO-2019232-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN MAINE ADDICTION RECOVERY INITIATIVE
Organization’s Mailing Address 235 MAIN STREET BOX 3
City NORWAY
State ME
ZIP 4268
Accounting period End 12
Primary contact name JENNIFER F KRECKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW BAKER
PRESIDENT
PO BOX 179
SOUTH PARIS ME 4281-179

Officer/Director/Trustee Two

JENNIFER SMALL
VICE PRESIDENT
235 MAIN ST
NORWAY ME 4268-5943

Officer/Director/Trustee Three

NANCY MCCLEAN-MORRISSETTE
SECRETARY
PO BOX 246
WEST PARIS ME 4289-246

Officer/Director/Trustee Four

REBECCA CHAGARSULIS
DIRECTOR
PO BOX 120
CASCO ME 4015-120

Officer/Director/Trustee Five

MICHELLE VALERIANI
DIRECTOR
24 COBB ST NO 10
FRYEBURG ME 4037-1456

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State ME
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: 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 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 MATTHEW BAKER
Signature Title PRESIDENT
Signature Date 8/16/19

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