FORM 1023-EZ for AA DISTRICT 16
| Field | Data |
|---|---|
| EIN | 84-4394643 |
| Case Number | EO-2020024-000372 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AA DISTRICT 16 |
| Organization’s Mailing Address | 116 E 6TH ST |
| City | MEDFORD |
| State | OR |
| ZIP | 97501-5902 |
| Accounting period End | 9 |
| Primary contact name | JACK IVERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TERRY CANTWELL
PRESIDENT
116 E 6TH ST
MEDFORD OR 97501-5902
Officer/Director/Trustee Two
ROBERT HAAS
BOARD MEMBER
116 E 6TH ST
MEDFORD OR 97501-5902
Officer/Director/Trustee Three
JACK IVERS
BOARD MEMBER
116 E 6TH ST
MEDFORD OR 97501-5902
Officer/Director/Trustee Four
MICHAEL MEENAGHAN
BOARD MEMBER
116 E 6TH ST
MEDFORD OR 97501-5902
Officer/Director/Trustee Five
AMY VILLASENOR
SECRETARY
116 E 6TH ST
MEDFORD OR 97501-5902
| Organization’s website | MEDFORDAREAAA.ORG |
|---|---|
| Organization’s email | DIST16DCM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/12/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F21 - Alcohol, Drug Abuse, Prevention Only |
| 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 | JACK IVERS |
| Signature Title | BOARD MEMBER |
| Signature Date | 1/22/2020 |
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