FORM 1023-EZ for VERMONT ASSOCIATION FOR BEHAVIOR ANALYSIS

Field Data
EIN 75-3178609
Case Number EO-2018136-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VERMONT ASSOCIATION FOR BEHAVIOR ANALYSIS
Organization’s Mailing Address PO BOX 4555
City BURLINGTON
State VT
ZIP 5401-9991
Accounting period End 12
Primary contact name LIANNE LUSSIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIANNE LUSSIER
TREASURER
42 COTTAGE LANE
MIDDLEBURY VT 5753

Officer/Director/Trustee Two

EMMA SMITH
CHAIR EMERITUS
911 DORSET ST APT 11
SOUTH BURLINGTON VT 5403

Officer/Director/Trustee Three

TERRA REED
ACTING CHAIR
3 KIMBERLY DRIVE
ESSEX JUNCTION VT 5452

Officer/Director/Trustee Four

ALYSE HEFFELFINGER
VICE TREASURER
57 RIVERS BEND LANE APT 6
COLCHESTER VT 5446

Officer/Director/Trustee Five

AUDREY HOFFMAN
GENERAL BOARD MEMBER
36 VT ROUTE 15 W
JOHNSON VT 5656

Organization’s website VTABA.ORG
Organization’s email CONTACT@VTABA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/04
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 LIANNE LUSSIER
Signature Title TREASURER
Signature Date 5/14/18

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