FORM 1023-EZ for MAUMEE SUBSTANCE ABUSE INTERVENTIONLEAGUE INC

Field Data
EIN 34-1575219
Case Number EO-2015212-000527
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAUMEE SUBSTANCE ABUSE INTERVENTIONLEAGUE INC
Organization’s Mailing Address 716 ASKIN STREET
City MAUMEE
State OH
ZIP 43537
Accounting period End 12
Primary contact name PAUL BROTZKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAUREEN BRUNO
PRESIDENT
13780 N BROADWAY
NEAPOLIS OH 43547

Officer/Director/Trustee Two

ANASTACIA LEACH
SECRETARY
1633 FALLBROOK ROAD
TOLEDO OH 43614-1902

Officer/Director/Trustee Three

PAUL BROTZKI
TREASURER
1015 NORTH SUPERIOR STREET
TOLEDO OH 43604

Officer/Director/Trustee Four

GLENN RAMBO
TRUSTEE
620 VALLEY DRIVE
MAUMEE OH 43537

Officer/Director/Trustee Five

ROGER BLACKBURN
TRUSTEE
557 MCINTYRE LANE
MAUMEE OH 43537

Organization’s website MAUMEESAIL.ORG
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/1988
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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