FORM 1023-EZ for LAKES REGION SUBSTANCE ABUSE COALITION

Field Data
EIN 30-0955661
Case Number EO-2017146-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKES REGION SUBSTANCE ABUSE COALITION
Organization’s Mailing Address 8 IREDALE STREET
City BRIDGTON
State ME
ZIP 04009-1220
Accounting period End 6
Primary contact name RICHARD STILLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY FINCK
PRESIDENT
PO BOX 327
BRIDGTON ME 04009-0327

Officer/Director/Trustee Two

RICHARD STILLMAN
TREASURER
8 IREDALE STREET
BRIDGTON ME 04009-1220

Officer/Director/Trustee Three

CATHERINE CLOUGH-BELL
VICE PRESIDENT
87 SOUTH HIGH STREET
BRIDGTON ME 04009-1123

Officer/Director/Trustee Four

KIMBERLY LEIGHTON
SECRETARY
25 HOSPITAL ROAD
BRIDGTON ME 04009-1148

Officer/Director/Trustee Five

PETER LEIGHTON
AT LARGE DIRECTOR
25 HOSPITAL ROAD
BRIDGTON ME 04009-1148

Organization’s website
Organization’s email LRSACOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
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: No
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
Signature Title
Signature Date

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