FORM 1023-EZ for MADISON COUNTY CEMETERY REHABILITATION AUTHORITY

Field Data
EIN 84-3724112
Case Number EO-2020023-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADISON COUNTY CEMETERY REHABILITATION AUTHORITY
Organization’s Mailing Address 1000 APPALACHEE DRIVE SE
City HUNTSVILLE
State AL
ZIP 35801-2201
Accounting period End 12
Primary contact name DUDLEY BURWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNS MILLER
PRESIDENT & CHAIRMAN OF BOARD
465 RYLAND PIKE
HUNTSVILLE AL 35811

Officer/Director/Trustee Two

DUDLEY BURWELL
TREASURER
1000 APPALACHEE DR
HUNTSVILLE AL 35801

Officer/Director/Trustee Three

MELVINA PHIILLIPS
SECRETARY
2279 OAK GROVE RD
NEW HOPE AL 35760

Officer/Director/Trustee Four

TIMOTHY BARNES
CHIEF TECHNOLOGY OFFICER
116 FEATHERSTONE LANE
OWNES CROSS ROADS AL 35763

Officer/Director/Trustee Five

CHARLOTTE STRONG
VOLUNTEER COORDINATOR
220 RICHMOND DRIVE
HUNTSVILLE AL 35811

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 DUDLEY BURWELL
Signature Title TREASURER
Signature Date 1/21/2020

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