FORM 1023-EZ for ARS BIOTECHNICA INC

Field Data
EIN 46-4131950
Case Number EO-2014246-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARS BIOTECHNICA INC
Organization’s Mailing Address 12230 TOWER ROAD
City MYERSVILLE
State MD
ZIP 21773
Accounting period End 5
Primary contact name DAVID ROZAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID ROZAK
DIRECTOR AND PRESIDENT
12230 TOWER ROAD
MYERSVILLE MD 21773

Officer/Director/Trustee Two

MARK TRICE
DIRECTOR AND VICE PRESIDENT
12049 LITTLE ANTIETAM ROAD
SMITHSBURG MD 21783

Officer/Director/Trustee Three

GARY LOPEZ
DIRECTOR AND TREASURER
4820 HARGETT LANE
FREDERICK MD 21702

Officer/Director/Trustee Four

THOMAS BROWN
DIRECTOR AND SECRETARY
105 IVY HILL DRIVE
MIDDLETOWN MD 21769

Officer/Director/Trustee Five

HERBERT GELHAUS
DIRECTOR
3601 WEST 47TH PLACE
ROELAND PARK KS 66205

Organization’s website ARSBIOTECHNICA.ORG
Organization’s email DAVID.ROZAK@ARSBIOTECHNICA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2013
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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