FORM 1023-EZ for ATLANTIC LABORATORY GROUP SUPPLY
| Field | Data |
|---|---|
| EIN | 85-2495731 |
| Case Number | EO-2020317-000069 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ATLANTIC LABORATORY GROUP SUPPLY |
| Organization’s Mailing Address | 4805 PORTSMOUTH BLVD |
| City | PORTSMOUTH |
| State | VA |
| ZIP | 23701 |
| Accounting period End | 12 |
| Primary contact name | DARYL L HINES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DARYL HINES
CHIEF EXECUTIVE OFFICER
4805 PORTSMOUTH BLVD
PORTSMOUTH VA 23701
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/13/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H00 - |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: Yes Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | Yes |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DARYL HINES |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 11/10/2020 |
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