FORM 1023-EZ for WILLISTON ALUMNI ASSOCIATION INC

Field Data
EIN 81-2106768
Case Number EO-2016102-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLISTON ALUMNI ASSOCIATION INC
Organization’s Mailing Address 14731 NE 20 STREET
City WILLISTON
State FL
ZIP 32696
Accounting period End 12
Primary contact name NANCY ETHERIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEDEE MCLEOD
PRESIDENT
2770 NE 187 COURT
WILLISTON FL 32696

Officer/Director/Trustee Two

GREG YANCEY
VICE PRESIDENT
680 NE 170 AVENUE
WILLISTON FL 32696

Officer/Director/Trustee Three

NANCY ETHERIDGE
SECRETARY TREASURER
14731 NE 20 STREET
WILLISTON FL 32696

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 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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