FORM 1023-EZ for ALABAMA ASSOCIATION OF WOMEN DENTISTS INCORPORATED

Field Data
EIN 20-2398781
Case Number EO-2019035-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALABAMA ASSOCIATION OF WOMEN DENTISTS INCORPORATED
Organization’s Mailing Address 1919 7TH AVENUE SOUTH
City BIRMGINAHAM
State AL
ZIP 35294
Accounting period End 12
Primary contact name VIRGINIA BEHLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BHAKTI DESAI
PRESIDENT
5401 VICKSBURG CIRCLE
BIRMINGHAM AL 35210

Officer/Director/Trustee Two

JACLYN BATES
PRESIDENT
2228 GARLAND DRIVE
BIRMINGHAM AL 35216

Officer/Director/Trustee Three

PAIGE HOLBROOK
SECRETARY
1233 18TH AVENUE SOUTH
BIRMINGHAM AL 35205

Officer/Director/Trustee Four

VIRGINIA BEHLEN
TREASURER
1139B 14TH STREET SOUTH
BIRMINGHAM AL 35205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/01
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G03 - Professional Societies, Associations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VIRGINIA BEHLEN
Signature Title TREASURER
Signature Date 1/12/19

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