FORM 1023-EZ for ADVANCE LODGE AF-AM INC
| Field | Data |
|---|---|
| EIN | 83-0822643 |
| Case Number | EO-2018162-000394 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADVANCE LODGE AF-AM INC |
| Organization’s Mailing Address | 1071 XAVIER |
| City | FLORENCE |
| State | KS |
| ZIP | 66851-9800 |
| Accounting period End | 12 |
| Primary contact name | RICHARD P BLOUNT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BLAINE WARKENTINE
PRESIDENT
26 WALNUT DRIVE
EMPORIA KS 66801-4923
Officer/Director/Trustee Two
LESLIE ALLISON
SECRETARY
1071 XAVIER
FLORENCE KS 66851-9800
Officer/Director/Trustee Three
JOHN BRANSON
TREASURER
441 CIRCLE DRIVE
FLORENCE KS 66851-1312
Officer/Director/Trustee Four
RICHARD BLOUNT
TRUSTEE
6 PRAIRIE LANE
MARION KS 66861-9311
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/19/17 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | 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 | RICHARD BLOUNT |
| Signature Title | TRUSTEE |
| Signature Date | 6/8/18 |
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