FORM 1023-EZ for ETA ALUMNI ASSOCIATION INC

Field Data
EIN 35-2435182
Case Number EO-2017062-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETA ALUMNI ASSOCIATION INC
Organization’s Mailing Address P O BOX 624
City JACKSON
State MS
ZIP 39205
Accounting period End 12
Primary contact name RONIE GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS DAVIS
PRESIDENT
P O BOX 18002
SARASOTA FL 32932

Officer/Director/Trustee Two

DEVERICK WALTON
VICE PRESIDENT
3071 CREEK FALLS WAY
DULUTH GA 30097

Officer/Director/Trustee Three

CYRUS RUSS
SECRETARY
3545 GRANDVIEW PARKWAY- APT 223
BIRMINGHAM AL 35243

Officer/Director/Trustee Four

RONIE GRIFFIN
TREASURE
6401 ROBINSROCK LANE
INDIANAPOLIS IN 46268

Officer/Director/Trustee Five

WILLIE MCCOY
ASSISTANT TREASURE
1251 KRISTI RIDGE DRIVE
LAWRENCVILLE GA 30045

Organization’s website NA
Organization’s email ETA_ALUMNI_ASSOCIATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2012
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - 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 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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