FORM 1023-EZ for MISSION BE ADDICTED 2 LIFE
| Field | Data |
|---|---|
| EIN | 83-4568144 |
| Case Number | EO-2019133-000657 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSION BE ADDICTED 2 LIFE |
| Organization’s Mailing Address | 514 N MADISON ST |
| City | TROY |
| State | OH |
| ZIP | 45373-2842 |
| Accounting period End | 12 |
| Primary contact name | ERIC DILLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ERIC DILLEY
DIRECTOR
514 N MADISON ST
TROY OH 45373
Officer/Director/Trustee Two
DICK RICE
BOARD MEMBER
315 E WALNUT ST
COVINGTON OH 45318
Officer/Director/Trustee Three
DOUG BROOKS
BOARD MEMBER
6625 N STATE ROUTE 48
COVINGTON OH 45318
Officer/Director/Trustee Four
MARK FRANCIS
BOARD MEMBER
1915 GREENBRIAR DR
TROY OH 45373
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/13/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | ERIC DILLEY |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 5/11/19 |
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