FORM 1023-EZ for ADDICTION FREE MINISTRY INC

Field Data
EIN 47-2805327
Case Number EO-2015139-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADDICTION FREE MINISTRY INC
Organization’s Mailing Address PO BOX 4334
City HOT SPRINGS
State AR
ZIP 71914
Accounting period End 12
Primary contact name BARBARA FERGUSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA BLAIR
PRESIDENT CEO
223 SMITH STREET
HOT SPRINGS AR 71913

Officer/Director/Trustee Two

MICHAEL MCFARLAND MD
VICE PRESIDENT
200 SPARLING ROAD
HOT SPRINGS AR 71913

Officer/Director/Trustee Three

GARY JENNINGS
TREASURER
101 PIN CHERRY ROAD
BISMARK AR 71913

Officer/Director/Trustee Four

BARBARA FERGUSON
SECRETARY
140 BRIGHTON TERRACE APT 201
HOT SPRINGS AR 71913

Organization’s website HTTP://WWW.ADDICTIONFREEMINISTRY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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