FORM 1023-EZ for 5TH AVE ALLIANCE LGB-TSAP

Field Data
EIN 82-4704170
Case Number EO-2019206-000048
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5TH AVE ALLIANCE LGB-TSAP
Organization’s Mailing Address 3411 OLD VINEYARD RD SUITE F2
City WINSTON SALEM
State NC
ZIP 27103
Accounting period End 2
Primary contact name LEDONVITO LOPEZDENNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEDONVITO LOPEZDENNY
PRESIDENT DIRECTOR OF AFFAIRS
3411 OLD VINE YARD ROAD
WINSTON SALEM NC 27103-2219

Officer/Director/Trustee Two

ARELIA ANTHONY
VICE PRESIDENT
4507 EDWARDS MILL ROAD
RALIEGH NC 27612

Officer/Director/Trustee Three

MICHEAL ALLEN
SECRETARY
111 CEDARWOOD DRIVE
ROCKINGHAM NC 28379

Officer/Director/Trustee Four

TEARIA MCCORKLE
TREASURE
1949 STONEWOOD DRIVE
WINSTON SALEM NC 27103-2219

Organization’s website HTTP://5THAVEALLIANCE.WIXSITE.COM/LGB-TSAP
Organization’s email TSAPCAROLINA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 LEDONVITO LOPEZDENNY
Signature Title PRESIDENT DIRECTOR OF AFFAIRS
Signature Date 7/23/19

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