FORM 1023-EZ for NATIVE AMERICAN INDIAN GENERAL SERVICE OFFICE OF ALCOHOLICS ANONYMOUS

Field Data
EIN 81-1319023
Case Number EO-2016313-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIVE AMERICAN INDIAN GENERAL SERVICE OFFICE OF ALCOHOLICS ANONYMOUS
Organization’s Mailing Address PO BOX 838
City ROGERSVILLE
State AL
ZIP 35652
Accounting period End 12
Primary contact name GARY CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY CLARK
PRESIDENT
6202 CR 70
ROGERSVILLE AL 35652

Officer/Director/Trustee Two

ELENA CLARK
TREASURER
6202 CR 70
ROGERSVILLE AL 35652

Officer/Director/Trustee Three

ROBERT SCHIESS
SECRETARY
495 LAMOREAUX DR
COMSTOCK PARK MI 49321

Organization’s website HTTP://NAIGSO-AA.ORG
Organization’s email GENERALMANAGER@NAIGSO-AA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
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 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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