FORM 1023-EZ for ADDICTION RESEARCH AND HEALING SANCTUARY INC

Field Data
EIN 84-4026536
Case Number EO-2019357-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADDICTION RESEARCH AND HEALING SANCTUARY INC
Organization’s Mailing Address 409 ELDORADO DRIVE
City ESCONDIDO
State CA
ZIP 92025
Accounting period End 12
Primary contact name ANDRES GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRES GONZALEZ
DIRECTOR
409 ELDORADO DRIVE
ESCONDIDO CA 92025

Officer/Director/Trustee Two

RICKY KUO
DIRECTOR
409 ELDORADO DRIVE
ESCONDIDO CA 92025

Officer/Director/Trustee Three

SUSAN SWARTZ
DIRECTOR
409 ELDORADO DRIVE
ESCONDIDO CA 92025

Organization’s website
Organization’s email ANDRES@DOCTORANDRES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Correctness Declaration Yes
Signature Name ANDRES GONZALEZ
Signature Title DIRECTOR
Signature Date 12/19/2019

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