FORM 1023-EZ for COMMUNITIES CONFRONTING SUBSTANCE ABUSE INC

Field Data
EIN 83-2197907
Case Number EO-2018291-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITIES CONFRONTING SUBSTANCE ABUSE INC
Organization’s Mailing Address 1126 EAST LAURELTON PKWY
City TEANECK
State NJ
ZIP 7666
Accounting period End 12
Primary contact name LIANNE FORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIANNE FORMAN
PRESIDENT & TREASURER
1126 EAST LAURELTON PKWY
TEANECK NJ 7666

Officer/Director/Trustee Two

LVIA WEISINGER
VICE PRESIDENT & SECRETARY
916 QUEEN ANNE ROAD
TEANECK NJ 7666

Officer/Director/Trustee Three

RACHELLE ZOMICK
VICE PRESIDENT
984 COUNTRY CLUB DRIVE
TEANECK NJ 7666

Organization’s website TIME2TALKADDICTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: No
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 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 LIANNE FORMAN
Signature Title PRESIDENT & TREASURER
Signature Date 10/16/18

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