FORM 1023-EZ for ALABAMA LYME DISEASE ASSOCIATION

Field Data
EIN 46-1590881
Case Number EO-2018241-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALABAMA LYME DISEASE ASSOCIATION
Organization’s Mailing Address 3312 DREXEL ROAD
City MONTGOMERY
State AL
ZIP 36106-3206
Accounting period End 12
Primary contact name RICK NEATHAMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

C KEVIN WOLFE
DIRECTOR
3312 DREXEL ROAD
MONTGOMERY AL 36106-3206

Officer/Director/Trustee Two

TINA NEATHAMMER
DIRECTOR
3312 DREXEL ROAD
MONTGOMERY AL 36106-3206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/12
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 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 No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TINA NEATHAMMER
Signature Title DIRECTOR
Signature Date 8/27/18

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