FORM 1023-EZ for ADDICTION HAVEN INC
| Field | Data |
|---|---|
| EIN | 81-0936970 |
| Case Number | EO-2016068-000196 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ADDICTION HAVEN INC |
| Organization’s Mailing Address | 4961 S VISTA PL |
| City | CHANDLER |
| State | AZ |
| ZIP | 85248-5539 |
| Accounting period End | 12 |
| Primary contact name | ANGELA GEREN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ANGELA GEREN
PRESIDENT
4961 S VISTA PL
CHANDLER AZ 85248-5539
Officer/Director/Trustee Two
DAVID COOKE
OFFICER
6633 E GREENWAY PARKWAY SUITE 2060
SCOTTSDALE AZ 85254-2051
Officer/Director/Trustee Three
MELISSA SCHMITZ
OFFICER
27 N PUEBLO ST
GILBERT AZ 85233-5433
Officer/Director/Trustee Four
AMY NIELSEN
OFFICER
1055 S CENTER ST
MESA AZ 85210-3601
Officer/Director/Trustee Five
MICHELE FOJUT
OFFICER
4418 SNOWY RIDGE TRAIL
WINDSOR WI 53598-9694
| Organization’s website | WWW.ADDICTIONHAVEN.COM |
|---|---|
| Organization’s email | ADDICTIONHAVEN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/24/2015 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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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