FORM 1023-EZ for ALPHA LIFE PREGNANCY CENTER

Field Data
EIN 82-1695537
Case Number EO-2017165-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA LIFE PREGNANCY CENTER
Organization’s Mailing Address 518 SAINT JOHNS LOOP
City RAEFORD
State NC
ZIP 28376
Accounting period End 12
Primary contact name DANITA CUMMINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANITA CUMMINS
PRESIDENT
518 SAINT JOHNS LOOP
RAEFORD NC 28376

Officer/Director/Trustee Two

MARY PERRY GALYEAN
VICE-PRESIDENT
102 OVERTON ROAD
RAEFORD NC 28376

Officer/Director/Trustee Three

BARBIE JONES
SECRETARY
2708 LOWLANDER DRIVE
RAEFORD NC 28376

Officer/Director/Trustee Four

CARRIE DAWS
TREASURER
104 HARVEST LANE
RAEFORD NC 28376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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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