FORM 1023-EZ for ADDICTION RESOURCE COALITION INC

Field Data
EIN 84-2005386
Case Number EO-2019252-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADDICTION RESOURCE COALITION INC
Organization’s Mailing Address 6110 MONROE HIGHWAY
City BALL
State LA
ZIP 71405
Accounting period End 12
Primary contact name JOSHUA POE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES GREER
PRESIDENT
445 GRAYS CREEK ROAD
DRY PRONG LA 71423

Officer/Director/Trustee Two

RANDY WIGGINS
VICE PRESIDENT
308 RAINTREE PLACE
PINEVILLE LA 71360

Officer/Director/Trustee Three

JOSHUA POE
SECRETARY
513 EDGEWOOD DRIVE
PINEVILLE LA 71360

Officer/Director/Trustee Four

CLARK BOYDSTUN
TREASURER
161 TULLOS LANE
DRY PRONG LA 71423

Organization’s website
Organization’s email JOSH@JCPINEVILLE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/19
Organization Incorporation State LA
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: 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 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 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 JOSHUA POE
Signature Title SECRETARY
Signature Date 9/6/19

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