FORM 1023-EZ for THE AUTOMOTIVE FREE CLINIC

Field Data
EIN 84-5186580
Case Number EO-2020120-000048
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AUTOMOTIVE FREE CLINIC
Organization’s Mailing Address 1813 WINONA AVENUE
City MONTGOMERY
State AL
ZIP 36107
Accounting period End 3
Primary contact name ZACHARY HENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY HENSON
EXECUTIVE DIRECTOR
1813 WINONA AVE
MONTGOMERY AL 36107

Officer/Director/Trustee Two

REGGIE BOLTON
PRESIDENT
4781 BEAR CREEK ROAD
STERETT AL 35147

Officer/Director/Trustee Three

JOSH STEWART
VICE PRESIDENT
4773 GRANTSWOOD ROAD
IRONDALE AL 35210

Officer/Director/Trustee Four

AARON POLLACK
SECRETARY/TREASURER
1530 W ASHBY PLACE
SAN ANTONIO TX 78201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 ZACHARY HENSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/25/2020

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