FORM 1023-EZ for 57 NORTH HAMPTON

Field Data
EIN 81-2573903
Case Number EO-2016133-000137
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 57 NORTH HAMPTON
Organization’s Mailing Address 4807 CALVERT RD NW
City HUNTSVILLE
State AL
ZIP 35816
Accounting period End 12
Primary contact name JANNA PETERSON-WADDELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANNA PETERSON-WADDELL
PRESIDENT
4807 CALVERT RD NW
HUNTSVILLE AL 35816

Officer/Director/Trustee Two

RENEE SCRUGGS
ADVISOR
4807 CALVERT RD NW
HUNTSVILLE AL 35816

Officer/Director/Trustee Three

GERALDINE WADDELL
SECRETARY
4406 BAUMHAUER DR
EIGHT MILE AL 36613

Officer/Director/Trustee Four

SHERRIE CAMPBELL
PROGRAM DIRECTOR
4451 BAUMHAUER DR
EIGHT MILE AL 36613

Officer/Director/Trustee Five

MALCOLM JESSUP
TREASURER
4424 EASTLAND DR NW
HUNTSVILLE AL 35810

Organization’s website WWW.57NHAMPTON.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O30 - Adult, Child Matching Programs
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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