FORM 1023-EZ for STAUNTON MEDIA ALLIANCE

Field Data
EIN 46-3520458
Case Number EO-2015090-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAUNTON MEDIA ALLIANCE
Organization’s Mailing Address 21 E FREDERICK ST
City STAUNTON
State VA
ZIP 24401-3667
Accounting period End 12
Primary contact name THOMAS DUMONTIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS DUMONTIER
PRESIDENT
21 E FREDERICK ST
STAUNTON VA 24401-3667

Officer/Director/Trustee Two

DIANA YOUNG
VICE PRESIDENT
124 N LEWIS ST
STAUNTON VA 24401-3382

Officer/Director/Trustee Three

GEOFFREY NEWTON
TREASURER
124 THOMPSON ST
STAUNTON VA 24401-3926

Officer/Director/Trustee Four

KIMBERLY NEWTON
SECRETARY
124 THOMPSON ST
STAUNTON VA 24401-3926

Officer/Director/Trustee Five

ADAM GREENBAUM
DIRECTOR
20 FAYETTE ST
STAUNTON VA 24401-4118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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