FORM 1023-EZ for ASBURY UNITED APPEAL FUND INC

Field Data
EIN 47-3803320
Case Number EO-2015128-000477
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASBURY UNITED APPEAL FUND INC
Organization’s Mailing Address 6690 CAHABA VALLEY ROAD
City BIRMINGHAM
State AL
ZIP 35242
Accounting period End 12
Primary contact name BLAKE A MADISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER FOSTER
PRESIDENT DIRECTOR
2731 INDIAN CREST DRIVE
PELHAM AL 35124

Officer/Director/Trustee Two

SCOTT ROMANOWSKI
VICE-PRESIDENT DIRECTOR
4260 ASHINGTON DRIVE
BIRMINGHAM AL 35242

Officer/Director/Trustee Three

APRIL CLOUSER
SECRETARY DIRECTOR
1121 ASHFORD LANE
BIRMINGHAM AL 35242

Officer/Director/Trustee Four

STEPHEN RITCHEY
TREASURER DIRECTOR
400 TALON CIRCLE
BIRMINGHAM AL 35242

Officer/Director/Trustee Five

MICHAEL GIBBS
DIRECTOR
1095 DUNNAVANT PLACE
BIRMINGHAM AL 35242

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 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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