FORM 1023-EZ for ATHLETES AGAINST DEPRESSION AND SUICIDE INTERNATIONAL INC

Field Data
EIN 47-3242496
Case Number EO-2015092-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATHLETES AGAINST DEPRESSION AND SUICIDE INTERNATIONAL INC
Organization’s Mailing Address 30 VIRGINIA AVE
City ROCHESTER
State NY
ZIP 14619-2323
Accounting period End 1
Primary contact name AMANDA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA HARRIS
PRESIDENT
30 VIRGINIA AVE
ROCHESTER NY 14619-2323

Officer/Director/Trustee Two

PAUL BARTLETT
VICE PRESIDENT
132 GILLETTE ST
ROCHESTER NY 14619-2227

Officer/Director/Trustee Three

EMILY PIHL
SECRETARY
123 BRENTWOOD LANE
FAIRPORT NY 14450

Organization’s website HTTP://WWW.AADSI.ORG
Organization’s email AMANDA.HARRIS@AADSI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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