FORM 1023-EZ for AMERICAN DISABILITY ADVENTURES INC

Field Data
EIN 27-0668319
Case Number EO-2017202-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN DISABILITY ADVENTURES INC
Organization’s Mailing Address P O BOX730
City KATHLEEN
State FL
ZIP 33849-0730
Accounting period End 12
Primary contact name MARGARET BLOMMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BLOMMEL
PRESIDENT
7940 CHASE ROAD
LAKELAND FL 33810-2104

Officer/Director/Trustee Two

MARGARET BLOMMEL
TREASURER
7940 CHASE ROAD
LAKELAND FL 33810-2104

Officer/Director/Trustee Three

TRAVIS WARD
VICE-PRESIDENT
3948 STATE ROAD 33
CLERMONT FL 34714-8618

Officer/Director/Trustee Four

KRYSTAL MCINTOSH
SECRETARY
P O BOX 576
SUMTERVILLE FL 33585-0576

Officer/Director/Trustee Five

MARK MCINTOSH
DIRECTOR
P O BOX 576
SUMTERVILLE FL 33585-0578

Organization’s website NA
Organization’s email AMERICANDISABILITYADVENTURES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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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