FORM 1023-EZ for KUHUL BALAM

Field Data
EIN 84-2237680
Case Number EO-2019190-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KUHUL BALAM
Organization’s Mailing Address 306 RIDGELAND ROAD
City DOTHAN
State AL
ZIP 36301
Accounting period End 12
Primary contact name JOSEPH BARBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BARBER
CHIEF EXECUTIVE OFFICER
306 RIDGELAND ROAD
DOTHAN AL 36301

Officer/Director/Trustee Two

ROSHNY VIJAYAKAR
DIRECTOR OF VOLUNTEER SUPPORT
200 BLISSETT DRIVE L 51
DOTHAN AL 36301

Officer/Director/Trustee Three

CHRISTOPHER SAWYER
CHIEF FINANCIAL OFFICER
124 ANDREW STILL COURT
DOTHAN AL 36303

Officer/Director/Trustee Four

COURTNEY CAMPBELL
DIRECTOR OF STRATEGIC PLANNING
101 ROOSEVELT DRIVE
DOTHAN AL 36301

Officer/Director/Trustee Five

STEPHANIE CHANEY
DIRECTOR OF PUBLIC RELATIONS
1301 S EDGEWOOD DR
DOTHAN AL 36301

Organization’s website WWW.KUHULBALAM.ORG
Organization’s email JOEBARBER@KUHULBALAM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 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 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 JOSEPH BARBER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/3/19

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