FORM 1023-EZ for PARK WEST ASSOCIATION INC

Field Data
EIN 63-0748526
Case Number EO-2019043-000052
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARK WEST ASSOCIATION INC
Organization’s Mailing Address P O BOX 311374
City BIRMINGHAM
State AL
ZIP 35231
Accounting period End 12
Primary contact name SOPHIA WHITE-BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON GARRETT
PRESIDENT
414 CARRIAGE DRIVE
BIRMINGHAM AL 35214

Officer/Director/Trustee Two

DEQUARIOUS HENDRICKS
VICE PRESIDENT
1004 BELLWOOD LANE
FAIRFIELD AL 35064

Officer/Director/Trustee Three

SOPHIA WHITE-BROWN
FINANCIAL SECRETARY TREASURER
137 CINDY LANE
BIRMINGHAM AL 35214

Officer/Director/Trustee Four

LINDA COLEMAN
SECRETARY
2130 ROBERTA ROAD
BIRMINGHAM AL 35214

Officer/Director/Trustee Five

ARMAND RICHARDSON
COMMISSIONER
2901 MADISON STREET
ADAMSVILLE AL 35005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/77
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name SOPHIA WHITE-BROWN
Signature Title FINANCIAL SECRETARY TREASURER
Signature Date 2/9/19

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