FORM 1023-EZ for ALPHA MISSION CONNECTION PROJECT

Field Data
EIN 81-5253940
Case Number EO-2017121-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA MISSION CONNECTION PROJECT
Organization’s Mailing Address 1121 OAK ARBOUR AVE
City LAWRENCEVILLE
State GA
ZIP 30044-2627
Accounting period End 6
Primary contact name ALPHA SANON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IRIS SANON
SECRETARY
46 E SPRUCE ST
ORLANDO FL 32804-4556

Officer/Director/Trustee Two

JYNA VALCIMOND
TREASURER
4551 NW 70TH AVE
LAUDERHILL FL 33319-4043

Officer/Director/Trustee Three

JEAN-CLAUDE PIERRE
DIRECTOR
6850 SW 7TH CT
NORTH LAUDERDALE FL 33068-2503

Officer/Director/Trustee Four

CLIFTON W DAVIS
DIRECTOR
3170 KIPLING DR
POWDER SPRINGS GA 30127-6445

Officer/Director/Trustee Five

ALPHA SANON
C.E.O
1121 OAK ARBOUR AVE
LAWRENCEVILLE GA 30044-2627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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