FORM 1023-EZ for DISTRICT MID-ATLANTIC MASTER BREWERS ASSOCIATION OF THE AMERICA

Field Data
EIN 46-3249290
Case Number EO-2015030-000603
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISTRICT MID-ATLANTIC MASTER BREWERS ASSOCIATION OF THE AMERICA
Organization’s Mailing Address 3340 PILOT KNOB RD
City SAINT PAUL
State MN
ZIP 55121
Accounting period End 12
Primary contact name TIMOTHY HAWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY HAWN
PRESIDENT
6 CANNERY VILLAGE CENTER
MILTON DE 19968

Officer/Director/Trustee Two

TOM THILERT
TREASURER
414 RIDGEVIEW CT
ARNOLD MD 21012

Officer/Director/Trustee Three

MATTHEW HAGERMAN
VICE-PRESIDENT
21730 RED RUM DR STE 142
ASHBURN VA 20147

Officer/Director/Trustee Four

BRIAN JACKSON
SECRETARY
5135 S EASTSIDE HWY
ELKTON VA 22827

Officer/Director/Trustee Five

WALTER HEEB
BOARD OF GOVERNERS REPRESENTATIVE
5135 S EASTSIDE HWY
ELKTON VA 22827

Organization’s website HTTP://WWW.MBAA.COM/DISTRICTS/MIDATLANTIC/PAGES/DEFAULT.ASPX
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2013
Organization Incorporation State MN
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 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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