FORM 1023-EZ for PHOENIX WOMEN INC

Field Data
EIN 87-2249014
Case Number EO-2021270-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX WOMEN INC
Organization’s Mailing Address 30 COUNTY ROAD 862
City CLANTON
State AL
ZIP 35045
Accounting period End 12
Primary contact name J DANIEL BEIRUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY PICKETT
PRESIDENT AND DIRECTOR
30 COUNTY RD 862
CLANTON AL 35045

Officer/Director/Trustee Two

MELISSA BAZZANO
TREASURER AND DIRECTOR
705 COUNTY RD 151
JEMISON AL 35085

Officer/Director/Trustee Three

APRIL GOODWIN
SECRETARY AND DIRECTOR
30 COUNTY RD 862
CLANTON AL 35045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: Yes
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 TIFFANY PICKETT
Signature Title PRESIDENT AND DIRECTOR
Signature Date 9/24/2021

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