| Field | Data |
|---|---|
| EIN | 82-1344651 |
| Case Number | EO-2017221-000372 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ADDICTION MEDICINE INSTITUTE |
| Organization’s Mailing Address | 1024 BAYSIDE DRIVE SUITE 459 |
| City | NEWPORT BEACH |
| State | CA |
| ZIP | 92660 |
| Accounting period End | 12 |
| Primary contact name | EDWARD CARELS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
EDWARD CARELS PHD
DIRECTOR CEO
1024 BAYSIDE DRIVE SUITE 459
NEWPORT BEACH CA 92660
JIM HOLDEN
DIRECTOR SECRETARY
1024 BAYSIDE DRIVE SUITE 459
NEWPORT BEACH CA 92660
GRANT MCNIFF
DIRECTOR TREASURER
1024 BAYSIDE DRIVE SUITE 459
NEWPORT BEACH CA 92660
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/14/2017 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F05 - Research Institutes and/or Public Policy Analysis |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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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