FORM 1023-EZ for ALABAMA WILDERNESS MEDICAL ASSOCIATION INC

Field Data
EIN 81-1406192
Case Number EO-2016340-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALABAMA WILDERNESS MEDICAL ASSOCIATION INC
Organization’s Mailing Address P O BOX 531245
City BIRMINGHAM
State AL
ZIP 35253
Accounting period End 12
Primary contact name BRETT S SHEEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OMER LEE BURNETT III
DIRECTOR/PRESIDENT/TREAS
P O BOX 531245
BIRMINGHAM AL 35253

Officer/Director/Trustee Two

WALTER SCHRADING
DIRECTOR/VICE PRESIDENT
P O BOX 531245
BIRMINGHAM AL 35253

Officer/Director/Trustee Three

ELIZABETH PHILLIPS
DIRECTOR/SECRETARY
P O BOX 531245
BIRMINGHAM AL 35253

Officer/Director/Trustee Four

EVAN THOMAS
DIRECTOR/SOCIAL COORDINATOR
P O BOX 531245
BIRMINGHAM AL 35253

Organization’s website HTTP://ALABAMAAWMA.ORG
Organization’s email ALABAMAWILDERNESSMEDICINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 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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