FORM 1023-EZ for JEFFERSON COUNTY FAITH BASED ALLIANCE FOR ADVANCEMENT OF HEALTH EQUITY
| Field | Data |
|---|---|
| EIN | 85-2424220 |
| Case Number | EO-2020225-000243 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JEFFERSON COUNTY FAITH BASED ALLIANCE FOR ADVANCEMENT OF HEALTH EQUITY |
| Organization’s Mailing Address | 2020 13TH PL SW |
| City | BIRMINGHAM |
| State | AL |
| ZIP | 35211 |
| Accounting period End | 12 |
| Primary contact name | ROBERT A SELLERS SR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBERT SELLERS
PRESIDENT
1401 WOODRIDGE CIR
PLEASANT GROVE AL 35127
Officer/Director/Trustee Two
LARRY BATIE
TREASURE
1750 HUITT STREET
BIRMINGHAM AL 35214
Officer/Director/Trustee Three
DOROTHY MCCADORY
SEC
5232 DRESDEN RD
IRONDALE AL 35210
Officer/Director/Trustee Four
MICHAEL WESLEY SR
BOARD MEMBER
2135 JEFFERSON AVE SW
BIRMINGHAM AL 35211
Officer/Director/Trustee Five
PERVIS MANN
BOARD MEMBER
2020 13TH PL SW
BIRMINGHAM AL 35211
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/27/2020 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| 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 | 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 | ROBERT SELLERS |
| Signature Title | PRESIDENT |
| Signature Date | 8/10/2020 |
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