FORM 1023-EZ for INDIANA AFFILIATION OF RECOVERY RESIDENCES INC

Field Data
EIN 81-2875628
Case Number EO-2016165-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA AFFILIATION OF RECOVERY RESIDENCES INC
Organization’s Mailing Address 11807 ALLISONVILLE ROAD NUM 221
City FISHERS
State IN
ZIP 46038
Accounting period End 12
Primary contact name DARRELL MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARRELL MITCHELL
PRESIDENT
12009 ALLISONVILLE ROAD
FISHERS IN 46038

Officer/Director/Trustee Two

KIM MANLOVE
VICE PRESIDENT
1431 N DELAWARE STREET
INDIANAPOLIS IN 46202

Officer/Director/Trustee Three

WENDY NOE
SECRETARY
14 N HIGHLAND AVE
INDIANAPOLIS IN 46202

Officer/Director/Trustee Four

BILL KUSTER
TREASURER
7917 BLUE JAY LANE APT D
INDIANAPOLIS IN 46260

Officer/Director/Trustee Five

ERIN MOONEY
BOARD MEMBER
55-5 CENTRAL AVENUE
INDIANAPOLIS IN 46220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
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
Signature Title
Signature Date

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