FORM 1023-EZ for IIH

Field Data
EIN 81-2621617
Case Number EO-2017179-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IIH
Organization’s Mailing Address 5006 NORTHWOOD LAKE DR E
City NORTHPORT
State AL
ZIP 35473
Accounting period End 5
Primary contact name MICHELLE COKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TORI GLEASON
BOARD MEMBER
NORTHWOOD LAKE DR E
NORTHPORT AL 35473

Officer/Director/Trustee Two

LAURIE REINWALD
PRESIDENT
2008 ANTIETAM AVE
TUSCALOOSA AL 35406

Officer/Director/Trustee Three

NANNETTE CAIN
BOARD MEMBER
13458 NORTH ROSSER RD
TUSCALOOSA AL 35405

Officer/Director/Trustee Four

MICHELLE COKER
SECRETARY
3696 BROOK HIGHLAND DR
TUSCALOOSA AL 35406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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