FORM 1023-EZ for AUTONOMOUS REGION OF NARCOTICS ANONYMOUS

Field Data
EIN 85-1640938
Case Number EO-2021264-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTONOMOUS REGION OF NARCOTICS ANONYMOUS
Organization’s Mailing Address 4750 ALMADEN EXPRESSWAY STE124 111
City SAN JOSE
State CA
ZIP 95118
Accounting period End 12
Primary contact name ALLEN JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK BURNS
PRESIDENT
1101 PINEVIEW STREET
CAMDEN SC 29020-3834

Officer/Director/Trustee Two

WILLIAM FRITZ
SECRETARY
5091 NEW TRIER AVE
SAN JOSE CA 95136-2721

Officer/Director/Trustee Three

SUSANNE BRUCCOLERI
TREASURER
5600 FRANCIS MARION PLACE
CONWAY SC 29527-2404

Officer/Director/Trustee Four

JON ARRIGO
DIRECTOR
4128 MESA LANE
LIVERPOOL NY 13090-1616

Organization’s website WWW.ARNA.WORLD
Organization’s email INFO@ARNA.WORLD
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 PATRICK BURNS
Signature Title PRESIDENT
Signature Date 7/12/2021

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