FORM 1023-EZ for TARRANT-PINSON VALLEY SERVICE ORGINIZATION

Field Data
EIN 47-4283453
Case Number EO-2015243-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TARRANT-PINSON VALLEY SERVICE ORGINIZATION
Organization’s Mailing Address PO BOX 170745
City BIRMINGHAM
State AL
ZIP 35217-0745
Accounting period End 12
Primary contact name WAYNE HOBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYNE HOBSON
DIRECTOR
1142 EAST LAKE BLVD
BIRMINGHAM AL 35217-0745

Officer/Director/Trustee Two

PATRICK NICOVICH
DIRECTOR
2806 PAHOKEE TRACE
BIRMINGHAM AL 35243

Officer/Director/Trustee Three

CARY WALKER
DIRECTOR
538 PINE TREE CIRCLE
TARRANT AL 35217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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