FORM 1023-EZ for SOUTHEASTERN AREA BLOOD BANKERS

Field Data
EIN 58-1441912
Case Number EO-2015104-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHEASTERN AREA BLOOD BANKERS
Organization’s Mailing Address 1460 BARRETT PLACE LANE
City LAWRENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name BARBARA BEVINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH COLLINS
PRESIDENT
400 S 4TH ST UNIT 303
ST. LOUIS MO 63102

Officer/Director/Trustee Two

BARBARA BEVINS
TREASURER
1460 BARRETT PLACE LANE
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

LISA ANDERSON
PRESIDENT ELECT
278 ROYAL SUNSET DR
DALLAS GA 30157

Officer/Director/Trustee Four

MARY ENGLEBERT
SECRETARY
12715 LAKELAND HILLS DR
NORTHPORT AL 35475-4202

Officer/Director/Trustee Five

ANDREA CARR
WEBMASTER
52 RIVER MIST CIRCLE
JEFFERSON GA 30549

Organization’s website WWW.SEABB.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1979
Organization Incorporation State GA
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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