FORM 1023-EZ for US HEADACHE ASSOCIATION

Field Data
EIN 83-1144196
Case Number EO-2019172-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US HEADACHE ASSOCIATION
Organization’s Mailing Address 1814 FIRESTONE COURT
City AUBURN
State AL
ZIP 36830-2598
Accounting period End 12
Primary contact name ANDREW TILLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW TILLMAN
MANAGING DIRECTOR
1814 FIRESTONE COURT
AUBURN AL 36830-2598

Officer/Director/Trustee Two

BRENT CATE
DIRECTOR
7041 NORTH HIGHFIELD DRIVE
BIRMINGHAM AL 35242-7241

Officer/Director/Trustee Three

JACOB GUTHRIE
DIRECTOR
2588 WESTON STREET
AUBURN AL 36832-3550

Organization’s website USHEADACHE.ORG
Organization’s email ANDREW.TILLMAN@USHEADACHE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 ANDREW TILLMAN
Signature Title DIRECTOR
Signature Date 6/19/19

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