FORM 1023-EZ for UNIVERSITY OF ARKANSAS CHAPTER OF SIGMA XI

Field Data
EIN 71-0471367
Case Number EO-2014345-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIVERSITY OF ARKANSAS CHAPTER OF SIGMA XI
Organization’s Mailing Address 556 N OLIVER AVE
City FAYETTEVILLE
State AR
ZIP 72701
Accounting period End 12
Primary contact name JEANNINE DURDIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUGLAS RHOADS
PRESIDENT/DIRECTOR
601 SCIENCE ENGINEERING
FAYETTEVILLE AR 72701

Officer/Director/Trustee Two

MALCOLM CLEAVELAND
SECRETARY/DIRECTOR
DEPT OF GEOSCIENCES UNIV OF AR
FAYETTEVILLE AR 72701

Officer/Director/Trustee Three

JEANNINE DURDIK
TREASURER/DIRECTOR
601 SCIENCE ENGINEERING
FAYETTEVILLE AR 72701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2012
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y40 - Fraternal Beneficiary Societies
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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