FORM 1023-EZ for ADDICTION RECOVERY MINISTRY INC

Field Data
EIN 82-3166583
Case Number EO-2021089-001283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADDICTION RECOVERY MINISTRY INC
Organization’s Mailing Address 9946 MONTEREY ROAD
City INDIANAPOLIS
State IN
ZIP 46235
Accounting period End 12
Primary contact name BRUCE HAMPTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN WILLIAMS
BOARD MEMBER
12 OSBORNE ST
ST LYNN MA 01905

Officer/Director/Trustee Two

DOUGLAS PIERSON
BOARD MEMBER
4840 PINE FOREST
MEMPHIS TN 38125

Officer/Director/Trustee Three

RHONDA PIERSON
BOARD MEMBER
4840 PINE FOREST
MEMPHIS TN 38125

Officer/Director/Trustee Four

CYNTHIA HAMPTON
SECRETARY
9946 MONTEREY ROAD
INDIANAPOLIS IN 46235

Officer/Director/Trustee Five

BRUCE HAMPTON
PRESIDENT
9946 MONTEREY ROAD
INDIANAPOLIS IN 46235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B09 -
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 BRUCE HAMPTON
Signature Title PRESIDENT
Signature Date 2/13/2021

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