FORM 1023-EZ for PILGRIM ALIVE INC
| Field | Data |
|---|---|
| EIN | 35-2610598 |
| Case Number | EO-2018120-000482 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PILGRIM ALIVE INC |
| Organization’s Mailing Address | 2592 WEST 14TH STREET |
| City | CLEVELAND |
| State | OH |
| ZIP | 44113 |
| Accounting period End | 12 |
| Primary contact name | BERNARD BUCKNER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BERNARD BUCKNER
PRESIDENT/CHAIRMAN
3850 EAST SURREY COURT
ROCKY RIVER OH 44116
Officer/Director/Trustee Two
KELLY BURD
SECRETARY
1798 WRIGHT AVENUE
ROCKY RIVER OH 44116
Officer/Director/Trustee Three
DONNA HOLDER
TREASURE
1639 BELLE AVE
LAKEWOOD OH 44107
Officer/Director/Trustee Four
KAREN MIHALIK
BOARD MEMBER
310 HALSTEAD LN 38
WESTLAKE OH 44145
Officer/Director/Trustee Five
GENO TALOR
BOARD MEMBER
3010 CAROL AVE
CLEVELAND OH 44113
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/1/17 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A20 - Arts, Cultural Organizations - Multipurpose |
| 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 | BERNARD BUCKNER |
| Signature Title | PRESIDENT/CHAIRMAN |
| Signature Date | 4/26/18 |
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