| Field | Data |
|---|---|
| EIN | 84-2716824 |
| Case Number | EO-2019280-000349 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ACADEMY OF CLINICAL SLEEP DISORDERDISCIPLINES |
| Organization’s Mailing Address | 15110 BANKFIELD DRIVE |
| City | WATERFORD |
| State | VA |
| ZIP | 20197-1299 |
| Accounting period End | 12 |
| Primary contact name | ERIC M LEMMER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRETT BROCKI
DIRECTOR AND PRESIDENT
15110 BANKFIELD DRIVE
WATERFORD VA 20197-1299
KATHRYN HANSEN
DIRECTOR AND VICE PRESIDENT
1522 PLAYER DRIVE
LEXINGTON KY 40511-2306
PATRICK KIRCHER
DIRECTOR AND TREASURER
206 SOLOGNE COURT
LITTLE ROCK AR 72223-8915
SHARON HENLEY
SECRETARY
6853 S STAFF ROAD
FAYETTEVILLE NC 28306-2508
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/9/19 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H12 - Fund Raising and/or Fund Distribution |
| 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 | BRETT BROCKI |
| Signature Title | DIRECTOR AND PRESIDENT |
| Signature Date | 10/4/19 |
| EIN | 84-2716824 |
| Case Number | EO-2019280-000349 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ACADEMY OF CLINICAL SLEEP DISORDER DISCIPLINES |
| Organization’s Mailing Address | 15110 BANKFIELD DRIVE |
| City | WATERFORD |
| State | VA |
| ZIP | 20197-1299 |
| Accounting period End | 12 |
| Primary contact name | ERIC M LEMMER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRETT BROCKI
DIRECTOR AND PRESIDENT
15110 BANKFIELD DRIVE
WATERFORD VA 20197-1299
KATHRYN HANSEN
DIRECTOR AND VICE PRESIDENT
1522 PLAYER DRIVE
LEXINGTON KY 40511-2306
PATRICK KIRCHER
DIRECTOR AND TREASURER
206 SOLOGNE COURT
LITTLE ROCK AR 72223-8915
SHARON HENLEY
SECRETARY
6853 S STAFF ROAD
FAYETTEVILLE NC 28306-2508
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/9/19 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H12 - Fund Raising and/or Fund Distribution |
| 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 | BRETT BROCKI |
| Signature Title | DIRECTOR AND PRESIDENT |
| Signature Date | 10/4/19 |
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