FORM 1023-EZ for FAMU NAA GREATER DAYTON CHAPTER

Field Data
EIN 58-2070933
Case Number EO-2015194-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMU NAA GREATER DAYTON CHAPTER
Organization’s Mailing Address P O BOX 142
City WILBERFORCE
State OH
ZIP 45384-0443
Accounting period End 12
Primary contact name WILLIE J WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIE WASHINGTON
PRESIDENT
P O BOX 443
WILBERFORCE OH 45384-0443

Officer/Director/Trustee Two

MICHAEL BLANKS
TREASURER
420 SHAWNEE RUN APT C
DAYTON OH 45449-3954

Officer/Director/Trustee Three

RICHARD MELSON
VICE PRESIDENT
3555 WALES DRIVE
DAYTON OH 45405-1844

Officer/Director/Trustee Four

RACHEL MELSON-BLANKS
RECORDING SECRETARY
420 SHAWNEE RUN APT C
DAYTON OH 45405-3954

Officer/Director/Trustee Five

EDMUND MOORE
CORRESPONDING SECRETARY
6860 DIAL DRIVE
HUBER HEIGHTS OH 45424-2719

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni 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 Yes
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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