FORM 1023-EZ for WIREGRASS LIFE UNITED APPEAL FUND INC

Field Data
EIN 82-1355674
Case Number EO-2017150-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WIREGRASS LIFE UNITED APPEAL FUND INC
Organization’s Mailing Address PO BOX 310160
City ENTERPRISE
State AL
ZIP 36330
Accounting period End 12
Primary contact name BLAKE A MADISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK WILLIAMS
PRESIDENT DIRECTOR
117 CR 171
NEW BROCKTON AL 36351

Officer/Director/Trustee Two

LISTER REEVES
VICE PRESIDENT DIRECTOR
200 SAVANNAH DRIVE
ENTERPRISE AL 36330

Officer/Director/Trustee Three

MIKE HARRELSON
SECRETARY DIRECTOR
108 QUAIL TRAIL
ENTERPRISE AL 36330

Officer/Director/Trustee Four

NEAL TINDOL
TREASURER DIRECTOR
107 OAKLAND DRIVE
ENTERPRISE AL 36330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 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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