FORM 1023-EZ for ALCOHOLICS ANONYMOUS DISTRICT 11

Field Data
EIN 84-3589836
Case Number EO-2021018-000025
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALCOHOLICS ANONYMOUS DISTRICT 11
Organization’s Mailing Address PO BOX 2268
City BELLINGHAM
State WA
ZIP 98227
Accounting period End 12
Primary contact name KIM BUCKINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA SEGUEL
DISTRICT COMMITTEE MEMBER
2500 ELLIS STREET
BELLINGHAM WA 98225

Officer/Director/Trustee Two

KIM BUCKINGHAM
TREASURER
2055 FRASER STREET APT 105
BELLINGHAM WA 98229

Officer/Director/Trustee Three

SUSAN ANDERSON
ALTERNATE DCM
639 W HORTON WAY APT 228
BELLINGHAM WA 98226

Organization’s website WWW.WHATCOMAA.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/1981
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN ANDERSON
Signature Title ALTERNATE DCM
Signature Date 11/18/2020

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