FORM 1023-EZ for ADDICTED TO HOPE

Field Data
EIN 84-3450923
Case Number EO-2019352-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADDICTED TO HOPE
Organization’s Mailing Address 7811 MONTROSE RD SUITE 410
City POTOMAC
State MD
ZIP 20854
Accounting period End 12
Primary contact name BRIAN CLEMENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DORRANCE
PRESIDENT
7811 MONTROSE RD STE410
POTOMAC MD 20854-3332

Officer/Director/Trustee Two

TIM WISEMAN
VICE PRESIDENT
1612 SWEETBRIAR
LONGVIEW TX 75604

Officer/Director/Trustee Three

BRIAN CLEMENT
SECRETARY/TREASURER
7811 MONTROSE RD STE 410
POTOMAC MD 20854-3332

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 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 BRIAN CLEMENT
Signature Title SECRETARY/TREASURER
Signature Date 12/16/2019

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