FORM 1023-EZ for ALPHA CLUB 4 MEN FOUNDATION INC

Field Data
EIN 84-1949822
Case Number EO-2019354-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALPHA CLUB 4 MEN FOUNDATION INC
Organization’s Mailing Address 2129 BALDWIN AVENUE STE 6
City CROFTON
State MD
ZIP 21114
Accounting period End 12
Primary contact name ROGER GORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER GORE
PRESIDENT
2129 BALDWIN AVENUE STE 6
CROFTON MD 21114

Officer/Director/Trustee Two

CHRIS BURCH
SECRETARY
2129 BALDWIN AVENUE STE 6
CROFTON MD 21114

Officer/Director/Trustee Three

DERRICK COLEMAN
TREASURER
2129 BALDWIN AVENUE STE 6
CROFTON MD 21114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 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 ROGER GORE
Signature Title PRESIDENT
Signature Date 12/17/2019

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