FORM 1023-EZ for ADYS ARMY

Field Data
EIN 47-0992594
Case Number EO-2014234-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADYS ARMY
Organization’s Mailing Address 5326 HARVEST RIDGE LANE
City BIRMINGHAM
State AL
ZIP 35242
Accounting period End 12
Primary contact name E NATHAN HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN SCHUBERT
PRESIDENT / DIRECTOR
5326 HARVEST RIDGE LANE
BIRMINGHAM AL 35242

Officer/Director/Trustee Two

GREG WATTS
TREASURER / DIRECTOR
6435 WESLEY HUGHES ROAD
CUMMING GA 30040

Officer/Director/Trustee Three

JIMMY STARNES
SECRETARY / DIRECTOR
84 PINE TRAIL
DALLAS GA 30157

Officer/Director/Trustee Four

KERI SCHUBERT
VICE PRESIDENT/ DIRECTOR
5326 HARVEST RIDGE LANE
BIRMINGHAM AL 35242

Officer/Director/Trustee Five

DAMON SCHUBERT
DIRECTOR
5 GREY SWAN WAY
DAWSONVILLE GA 30534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2014
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
Organization’s purpose Charitable: Yes
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 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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