FORM 1023-EZ for ASSOCIATION FOR VETERINARY INFORMATICS

Field Data
EIN 64-0715840
Case Number EO-2016208-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSOCIATION FOR VETERINARY INFORMATICS
Organization’s Mailing Address 500 WESTOVER DR 7548
City SANFORD
State NC
ZIP 27330
Accounting period End 7
Primary contact name DENNIS BALLANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONNYA DENNIS
PRESIDENT
PO BOX 99
NEWFIELDS NH 03856

Officer/Director/Trustee Two

DENNIS BALLANCE
TREASURER
770 COLLIER DR
DIXON CA 95620

Officer/Director/Trustee Three

JONATHAN LUSTGARTEN
PRESIDENT-ELECT
350 W 42ND ST APT 5H
NEW YORK NY 10036

Officer/Director/Trustee Four

PAMELA OKERHOLM
SECRETARY
29 HARVARD AVE 54
MEDFORD MA 02155

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/1985
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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