FORM 1023-EZ for SAMARITAN RECOVERY COMMUNITY ORGANIZATION INC

Field Data
EIN 82-5340256
Case Number EO-2019221-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMARITAN RECOVERY COMMUNITY ORGANIZATION INC
Organization’s Mailing Address 811
City GREENVILLE
State MI
ZIP 48838
Accounting period End 12
Primary contact name SCOTT BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT BROWN
EXECUTIVE DIRECTOR
811
GREENVILLE MI 48838

Officer/Director/Trustee Two

SHANNON BROWN
PRESIDENT
6822 WILDWOOD COURT
FRUITPORT CHARTER TW MI 49415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State MI
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: 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 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 SHANNON BROWN
Signature Title PRESIDENT
Signature Date 8/7/19

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