FORM 1023-EZ for ALABAMA MORTICIANS ASSOCIATION

Field Data
EIN 82-1346585
Case Number EO-2017156-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALABAMA MORTICIANS ASSOCIATION
Organization’s Mailing Address 500 FONVILLE STREET
City TUSKEGEE
State GA
ZIP 36083
Accounting period End 12
Primary contact name RENARD ANTHONY - REGISTER AGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAL BENTLEY
PRESIDENT
500 FONVILLE STREET
TUSKEGEE AL 36083

Officer/Director/Trustee Two

SONJA BENTLEY
TREASURER
2930 COUNTY ROAD 27
TUSKEGEE AL 36083

Officer/Director/Trustee Three

HALLE BENTLEY
VICE PRESIDENT
884 LAW DRIVE
AUBURN AL 36830-3429

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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
Signature Title
Signature Date

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