FORM 1023-EZ for LARRY LABONTE RECOVERY CENTER

Field Data
EIN 83-3271711
Case Number EO-2019163-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LARRY LABONTE RECOVERY CENTER
Organization’s Mailing Address 412 WALDO STREET
City RUMFORD
State ME
ZIP 4276
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

LONNIE LABONTE
PRESIDENT/DIRECTOR
5501 45TH AVENUE
HYATTSVILLE MD 20781

Officer/Director/Trustee Two

ELLEN THORNE
TREASURER/DIRECTOR
662 PENOBSCOT STREET
RUMFORD ME 4276

Officer/Director/Trustee Three

KATHLEEN WILLIAMS
DIRECTOR
408 WALDO STREET
RUMFORD ME 4276

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/18
Organization Incorporation State ME
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: 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 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 LONNIE LABONTE
Signature Title PRESIDENT/DIRECTOR
Signature Date 6/10/19

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