FORM 1023-EZ for ALICES EMBRACE

Field Data
EIN 47-3287723
Case Number EO-2015076-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALICES EMBRACE
Organization’s Mailing Address 9762 SILVERTRAIL LANE
City ELK GROVE
State CA
ZIP 95624-3987
Accounting period End 12
Primary contact name DIANE LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE LEWIS
PRESIDENT, CHIEF EXECUTIVE OFFICER
9762 SILVERTRAIL LANE
ELK GROVE CA 95624-3987

Officer/Director/Trustee Two

KATHE HENRY
TREASURER, SECRETARY
PO BOX 163396
SACRAMENTO CA 95816

Officer/Director/Trustee Three

DANIELLE BOWEN
BOARD MEMBER
8979 BELLE HARBOR COURT
ELK GROVE CA 95624

Organization’s website WWW.ALICESEMBRACE.COM
Organization’s email ALICESEMBRACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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
Signature Title
Signature Date

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