FORM 1023-EZ for CIRCLE OF HOPE CULLMAN

Field Data
EIN 83-0784800
Case Number EO-2018179-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCLE OF HOPE CULLMAN
Organization’s Mailing Address 1701 MAIN AVE SW STE 5
City CULLMAN
State AL
ZIP 35055
Accounting period End 12
Primary contact name C BLAKE WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN L
PRESIDENT
3268 COUNTY ROAD 1087
V AL 35179

Officer/Director/Trustee Two

C BLAKE WEST
SECRETARY
1701 MAIN AVE SW
CULLMAN AL 35055

Officer/Director/Trustee Three

CASEY RODGERS
TREASURER
258 COUNTY ROAD 1024
CULLMAN AL 35057

Officer/Director/Trustee Four

ELAINE BLACKWOOD
DIRECTOR
229 COUNTY ROAD 3734
ADDISON AL 35540

Officer/Director/Trustee Five

TAMMY RIDDLE
DIRECTOR
181 COUNTY ROAD 3781
ADDISON AL 33540

Organization’s website WWW.FACEBOOK.COM/CIRCLEOFHOPECULLMAN/
Organization’s email CIRCLIEOFHOPECULLMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 C BLAKE WEST
Signature Title SECRETARY
Signature Date 6/26/18

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