FORM 1023-EZ for ALLIANCE MASONIC BENEFIT ASSOCIATION INC

Field Data
EIN 35-2352563
Case Number EO-2016081-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALLIANCE MASONIC BENEFIT ASSOCIATION INC
Organization’s Mailing Address 144 S LINDEN AVE
City ALLIANCE
State OH
ZIP 44601-2509
Accounting period End 12
Primary contact name HEATHER NORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERMAN L BRICK
PRESIDENT
10851 BARCUS AVE NE
ALLIANCE OH 44601-8774

Officer/Director/Trustee Two

MICHAEL R ZIGLER
VICE PRESIDENT
22746 BUCK RD
ALLIANCE OH 44601-9057

Officer/Director/Trustee Three

HEATHER A NORRIS
SECRETARY/TREASURER
16018 SR 62
DAMASCUS OH 44619-0263

Officer/Director/Trustee Four

RICK STEWARD
TRUSTEE
715 S WADE AVE
ALLIANCE OH 44601-3225

Officer/Director/Trustee Five

ERIC W NORRIS
TRUSTEE
16018 SR 62
DAMASCUS OH 44619-0263

Organization’s website
Organization’s email CONRADLODGE@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2009
Organization Incorporation State OH
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: 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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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