FORM 1023-EZ for AMR1

Field Data
EIN 81-1566009
Case Number EO-2017186-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMR1
Organization’s Mailing Address 5746 HERITAGE PARK LN
City MCCALLA
State AL
ZIP 35111
Accounting period End 12
Primary contact name RUEBEN L NELSON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUEBEN NELSON
EXECUTIVE DIRECTOR
5746 HERITAGE PARK LN
MCCALLA AL 35111

Officer/Director/Trustee Two

HERMAN LUMZY
BOARD CHAIR
1745 GRANT AVE SW
BIRMINGHAM AL 35211

Officer/Director/Trustee Three

TRAVIS STOVES
SECRETARY
337 9TH AVE
BIRMINGHAM AL 35211

Officer/Director/Trustee Four

OTIS LEVERETTE
TREASURER
537 WILLOW LN
BIRMINGHAM AL 35206

Officer/Director/Trustee Five

TRACY DOUGHTY
BOARD VICE-CHAIR
25695 GRAY STONE DR
MADISON AL 35756

Organization’s website
Organization’s email RUEBENNELSONJR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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