FORM 1023-EZ for I AM STILL ALIVE FOUNDATION

Field Data
EIN 47-1250886
Case Number EO-2018130-000533
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM STILL ALIVE FOUNDATION
Organization’s Mailing Address 6173 CINNAMON COURT
City ALEXANDRIA
State VA
ZIP 22310
Accounting period End 12
Primary contact name NORMA LINCOLN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMA LINCOLN
PRESIDENT
6173 CINNAMON COURT
ALEXANDRIA VA 22310

Officer/Director/Trustee Two

DONNA SMITH
BOARD MEMBER
710 ROEDER RD APT 1201
SILVER SPRING MD 20910

Officer/Director/Trustee Three

HAROLD LINCOLN
BOARD MEMBER
126 S PLAINS DRIVE
PETERSBURG VA 23805

Officer/Director/Trustee Four

DELORIS DECOSTA
BOARD MEMBER
1215 PORCHER SCHOOL RD
AWENDAW SC 29429

Organization’s website WWW.IAMSTILLALIVEFOUND.ORG
Organization’s email NORMA.LINK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/14
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NORMA LINCOLN
Signature Title PRESIDENT
Signature Date 5/8/18

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