FORM 1023-EZ for EMERGE INC

Field Data
EIN 26-0496000
Case Number EO-2016238-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMERGE INC
Organization’s Mailing Address 1745 GRANT AVE SW
City BIRMINGHAM
State AL
ZIP 35211
Accounting period End 12
Primary contact name HERMAN J LUMZY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR Q DELORIS BRANDY
BOARD CHAIR
1404 LINCOLN ST
BIRMINGHAM AL 35211

Officer/Director/Trustee Two

BYRON DAVIS
VICE CHAIR
1625 42ND ST
BIRMINGHAM AL 35208

Officer/Director/Trustee Three

CHRIS MCDANIEL
SECRETARY
26 GREEN SPRINGS AVE
BIRMINGHAM AL 35211

Officer/Director/Trustee Four

WILL HILDRED
TREASURER
232 16TH AVE SW
BIRMINGHAM AL 35211

Officer/Director/Trustee Five

HERMAN LUMZY JR
EXECUTIVE DIRECTOR
1353 17TH WAY SW
BIRMINGHAM AL 35211

Organization’s website
Organization’s email EMERGEINCORPORATED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2007
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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