FORM 1023-EZ for MONTGOMERY ROLLER DERBY AKA MRD

Field Data
EIN 83-3777563
Case Number EO-2020016-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTGOMERY ROLLER DERBY AKA MRD
Organization’s Mailing Address 1328 COUNTY ROAD 85
City MONTGOMERY
State AL
ZIP 36067
Accounting period End 2
Primary contact name SUSANNE KLOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE BURCH
DIRECTOR
1328 COUNTY ROAD 85
MONTGOMERY AL 36067

Officer/Director/Trustee Two

AMANDA MANKER
DIRECTOR
824 FEDERAL DRIVE
MONTGOMERY AL 36107

Officer/Director/Trustee Three

SUSANNE KLOSS
DIRECTOR
799 TRACY COURT
AUBURN AL 36832

Officer/Director/Trustee Four

STACY SIMS
DIRECTOR
2510 WILDERNESS LANE
AUBURN AL 36830

Officer/Director/Trustee Five

MICHELLE MCCAULEY
DIRECTOR
53 SPENCER WAY
DEATSVILLE AL 36022

Organization’s website NA
Organization’s email PROMOTIONS.MRD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2018
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 SUSANNE KLOSS
Signature Title DIRECTOR
Signature Date 1/14/2020

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