FORM 1023-EZ for ALPHA OMEGA ALPHA HONOR MEDICAL SOCIETY

Field Data
EIN 35-6070909
Case Number EO-2014346-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA OMEGA ALPHA HONOR MEDICAL SOCIETY
Organization’s Mailing Address 705 RILEY HOSPITAL DRIVE RM 1053
City INDIANAPOLIS
State IN
ZIP 46202-5200
Accounting period End 12
Primary contact name CARLENE BURTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD GUNDERMAN
TREASURER
705 RILEY HOSPITAL DRIVE RM 1053
INDIANAPOLIS IN 46202-5200

Organization’s website WWW.ALPHAOMEGAALPHA.ORG/INDIANA_UNIVERSITY.HOME.HTML
Organization’s email AOA@IUPUI.EDU
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1916
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - 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 No
One Third Support Gifts Yes
Benefit of College No
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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