FORM 1023-EZ for ALABAMA SOCIETY OF DERMATOLOGY PROFESSIONALS

Field Data
EIN 82-2754692
Case Number EO-2018095-000509
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALABAMA SOCIETY OF DERMATOLOGY PROFESSIONALS
Organization’s Mailing Address 250 INVERNESS CENTER DRIVE
City HOOVER
State AL
ZIP 35242
Accounting period End 12
Primary contact name JAIME DUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIME DUNN
PRESIDENT
1401 EDWARDS LAKE ROAD
BIRMINGHAM AL 35235

Officer/Director/Trustee Two

NATALIE GEORGE
VICE-PRESIDENT
2100 16TH AVE SOUTH SUITE 202
BIRMINGHAM AL 35205

Officer/Director/Trustee Three

MARY BETH TEMPLIN
TREASURER
250 INVERNESS CENTER DRIVE
HOOVER AL 35242

Officer/Director/Trustee Four

LAUREN MILLER
SECRETARY
101 CHERRY ST
GADSDEN AL 35901

Officer/Director/Trustee Five

SUZANNE VICKERS
DIRECTOR AT LARGE
2290 VALLEYDALE RD STE 204
HOOVER AL 35244

Organization’s website ALDERMPANP.ORG
Organization’s email ALDERMPANP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/17
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAIME DUNN
Signature Title PRESIDENT
Signature Date 3/21/18

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