FORM 1023-EZ for THE AJHA OUTREACH FOUNDATION INC

Field Data
EIN 85-3505979
Case Number EO-2020317-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AJHA OUTREACH FOUNDATION INC
Organization’s Mailing Address 1212 6TH STREET
City PLEASANT GROVE
State AL
ZIP 35127
Accounting period End 12
Primary contact name KERTURAH HALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKIRA DUNNER
TREASURER
1423 WOODLAND CIRCLE
HELENA AL 35080

Officer/Director/Trustee Two

LAKISHA MOORE SMITH
PRESIDENT
4309 SIERRA WAY
GARDENDALE AL 35207

Officer/Director/Trustee Three

DAVALYN JENKINS
SECRETARY
7834 THE LAKES DRIVE
FAIRBURN GA 30213

Officer/Director/Trustee Four

TRESHA MOORE
CHAPLAIN
2438 SUMMIT PLACE
BIRMINGHAM AL 35243

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 LAKIRA DUNNER
Signature Title TREASURER
Signature Date 11/9/2020

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