FORM 1023-EZ for ADDICTION LIVING COMMUNITY ASSOCIATION

Field Data
EIN 47-4151586
Case Number EO-2016278-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADDICTION LIVING COMMUNITY ASSOCIATION
Organization’s Mailing Address 1040 KALREDA RD
City YORK
State PA
ZIP 17406-2442
Accounting period End 5
Primary contact name STEPHEN SHEFFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN SHEFFER
PRESIDENT, SECRETARY, TREASURER
1040 KALREDA RD
YORK PA 17406-2442

Officer/Director/Trustee Two

CAITLYN FINKENBINER
VICE PRESIDENT
1040 KALREDA RD
YORK PA 17406-2442

Organization’s website N/A
Organization’s email ADDICTIONLIVINGCOMMUNITY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/2015
Organization Incorporation State PA
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: Yes
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
Signature Title
Signature Date

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