FORM 1023-EZ for THE WHISTLEBLOWER ASSISTANCE FUND INC

Field Data
EIN 84-4229895
Case Number EO-2020031-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WHISTLEBLOWER ASSISTANCE FUND INC
Organization’s Mailing Address PO BOX 252
City WETUMPKA
State AL
ZIP 36092
Accounting period End 9
Primary contact name TODD L DENISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE PERCIVAL
CHAIRMAN PRESIDENT DIRECTOR
733 GRIER LANE
WETUMPKA AL 36092

Officer/Director/Trustee Two

HEATHER RAPACHIETTA
DIRECTOR
9850 WESTCLIFF PARKWAY APT 2128
WESTMINSTER CO 80021

Officer/Director/Trustee Three

CECIL JACKSON
DIRECTOR
14093 S ALABAMA STREET
JAY FL 32565

Officer/Director/Trustee Four

BRADLEY PERCIVAL
TREASURER
9850 WESTCLIFF PARKWAY APT 2128
WESTMINSTER CO 80021

Officer/Director/Trustee Five

LYNDA HOTARD
SECRETARY
733 GRIER LANE
WETUMPKA AL 36092

Organization’s website WWW.THEWHISTLEBLOWERASSISTANCEFUND.ORG
Organization’s email THEWHISTLEBLOWERASSISTANCEFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 BLAKE PERCIVAL
Signature Title CHAIRMAN PRESIDENT DIRECTOR
Signature Date 1/29/2020

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