| Field | Data |
|---|---|
| EIN | 83-4489054 |
| Case Number | EO-2019176-000265 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADDICTION RESPONSE MINISTRY OF CHAUTAUQUA COUNTY INC |
| Organization’s Mailing Address | 1006 WEST THIRD STREET |
| City | JAMESTOWN |
| State | NY |
| ZIP | 14701 |
| Accounting period End | 12 |
| Primary contact name | JEFFREY WENTZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JEFFREY WENTZ
BOARD MEMBER
10880 S ROBERTS RD
DUNKRIK NY 14048
LEECROFT CLARKE
CHAIRMAN OF THE BOARD
1006 WEST 3RD ST
JAMESTOWN NY 14701
STEVE KILBURN
VICE CHAIRMAN OF THE BOARD
107 CHURCH ST
SHERMAN NY 14781
NED LINDSTROM
BOARD MEMBER
120 CHANDLER ST
JAMESTOWN NY 14701
ERIKA LOPEZ
BOARD MEMBER
101 EAGLE ST
FREDONIA NY 14063
| Organization’s website | WWW.ADDICTIONRESPONSEMINISTRY.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/11/19 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: No 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 | JEFFREY WENTZ |
| Signature Title | BOARD MEMBER |
| Signature Date | 6/20/19 |
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