FORM 1023-EZ for THE CLIMB ADDICTIONS RECOVERY AND REHABILITATION INCORPORATED

Field Data
EIN 47-2311530
Case Number EO-2015015-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CLIMB ADDICTIONS RECOVERY AND REHABILITATION INCORPORATED
Organization’s Mailing Address 208 WEST 21ST STREET
City CONNERSVILLE
State IN
ZIP 47331
Accounting period End 12
Primary contact name LESLIE BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN ISAACS
PRESIDENT
1514 CONWELL
CONNERSVILLE IN 47331

Officer/Director/Trustee Two

LESLIE BAILEY
VICE PRESIDENT
918 WEST 5TH STREET
CONNERSVILLE IN 47331

Officer/Director/Trustee Three

LINDA FRYE
SECRETARY/ TREASURER
126 EAST 4TH STREET
CONNERSVILLE IN 47331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B07 -
Organization’s purpose Charitable: No
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 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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