FORM 1023-EZ for ATLANTA SOCIETY FOR VASCULAR ULTRASOUND DBA ASVU

Field Data
EIN 47-4432425
Case Number EO-2016095-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATLANTA SOCIETY FOR VASCULAR ULTRASOUND DBA ASVU
Organization’s Mailing Address PO BOX 66981
City MARIETTA
State GA
ZIP 30066
Accounting period End 12
Primary contact name VIENG PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN MEDLIN
PRESIDENT
61 WHITCHER ST
MARIETTA GA 30060

Officer/Director/Trustee Two

LISLE PALLIN
VICE PRESIDENT
5220 KIMBLEWICK COVE
DUNWOODY GA 30338

Officer/Director/Trustee Three

KATHY INMAN
SECRETARY
1643 PERSEVERANCE HILL CIR
KENNESAW GA 30152

Officer/Director/Trustee Four

VIENG PHILLIPS
TREASURER
1192 RIO CT
MARIETTA GA 30066

Organization’s website WWW.ASVU.ORG
Organization’s email VIENG77@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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