FORM 1023-EZ for KEEP HOPE ALIVE INC

Field Data
EIN 81-1397891
Case Number EO-2020073-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP HOPE ALIVE INC
Organization’s Mailing Address 2458 LYNN LAKE CIR S APT A BLDG 62
City ST PETERSBURG
State FL
ZIP 33712
Accounting period End 12
Primary contact name VALERIA DORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIA DORN
FOUNDER/PRESIDENT
2458 LYNN LAKE CIR S APT A BLDG 62
ST PETERSBURG FL 33712

Officer/Director/Trustee Two

SHANEKA BYRD
VICE PRESIDENT
1010 JAMES AVE S
ST PETERSBURG FL 33705

Officer/Director/Trustee Three

BEVERLY GRAVELEY
OPERATIONS DIRECTOR
2360 11TH ST S
ST PETERSBURG FL 33705

Officer/Director/Trustee Four

JOSEPHINE SEAFUS
SECRETARY
4018 3RD AVE S APT B
ST PETERSBURG FL 33712

Officer/Director/Trustee Five

RENEE WILLIAMS
DIRECTOR
1910 1/2 23RD ST S
ST PETERSBURG FL 33712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 VALERIA DORN
Signature Title FOUNDER/PRESIDENT
Signature Date 3/11/2020

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