FORM 1023-EZ for ADDICTION FOUNDATION INC

Field Data
EIN 46-3495960
Case Number EO-2018243-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADDICTION FOUNDATION INC
Organization’s Mailing Address 407 NORTH FRONT STREET
City HARRISBURG
State PA
ZIP 17110
Accounting period End 12
Primary contact name MELISSA VAYDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA VAYDA
PRESIDENT
2304 NORTH 2ND STREET
HARRISBURG PA 17110

Officer/Director/Trustee Two

KRISTEN HORN
TREASURER/SECRETARY
441 WOODRUFF WAY
HARRISBURG PA 17112

Officer/Director/Trustee Three

VICKY BEAVER
DIRECTOR
339 QUEEN STREET
NORTHUMBERLAND PA 17857

Officer/Director/Trustee Four

VICKY HERNANDEZ
DIRECTOR
8 NORMAL AVENUE
UPPER MONT CLAIR NJ 7043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/13
Organization Incorporation State PA
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: 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 Yes
Donation of funds Yes
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 Yes
Correctness Declaration Yes
Signature Name MELISSA VAYDA
Signature Title PRESIDENT
Signature Date 8/28/18

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