FORM 1023-EZ for NORTH ALABAMA SQUARE DANCE ASSOCIATION

Field Data
EIN 82-5444050
Case Number EO-2018169-000585
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH ALABAMA SQUARE DANCE ASSOCIATION
Organization’s Mailing Address 114 VERANDA DR
City MADISON
State AL
ZIP 35758
Accounting period End 12
Primary contact name TERRY CASSIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY CASSIS
EXECUTIVE DIRECTOR
114 VERANDA DR
MADISON AL 35758

Officer/Director/Trustee Two

JOHN BLOODWORTH
DIRECTOR
1490 LITTLE COVE RD
OWENS CROSS ROADS AL 35763

Officer/Director/Trustee Three

JON STEFFENS
DIRECTOR
563 RANGE RD
GURLEY AL 35748

Organization’s website NORTHALABAMASQUAREDANCE.COM
Organization’s email NORTHALABAMASQUAREDANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 No
Correctness Declaration Yes
Signature Name TERRY CASSIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/14/18

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