FORM 1023-EZ for SIRGENTZ INC

Field Data
EIN 47-5622006
Case Number EO-2017009-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIRGENTZ INC
Organization’s Mailing Address 5216 BLACKSTONE LANE
City NORTHPORT
State AL
ZIP 35473
Accounting period End 12
Primary contact name TARIL SLATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL DANCY
TREASURER
2361 LEGACY PARK DRIVE
TUSCALOOSA AL 35404

Officer/Director/Trustee Two

SHAY GRAY
SECRETARY
6910 SIMPSON STREET
NORTHPORT AL 35473

Officer/Director/Trustee Three

TARIL SLATER
DIRECTOR
5216 BLACKSTONE LANE
NORTHPORT AL 35473

Organization’s website WWW.SIRGENTZINC.WEEBLY.COM
Organization’s email SIRGENTZINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
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 Yes
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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