FORM 1023-EZ for ACADEMY OF TEACHING AND LEARNING

Field Data
EIN 20-8661708
Case Number EO-2015159-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACADEMY OF TEACHING AND LEARNING
Organization’s Mailing Address 13994
City SALEM
State OR
ZIP 97309
Accounting period End 7
Primary contact name DAVID ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHNNY LAKE
PRESIDENT
13994
SALEM OR 97309

Officer/Director/Trustee Two

HOPE MARSTON
SECRETARY
51434
EUGENE OR 97405

Officer/Director/Trustee Three

ANNE JOHNSTON-DIAZ
VICE-PRESIDENT
72258
EUGENE OR 97401

Officer/Director/Trustee Four

JAY BRESLOW
DIRECTOR
13994
SALEM OR 97309

Organization’s website
Organization’s email DAVID@NONPROFIT-SUPPORT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2006
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
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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