FORM 1023-EZ for ATLANTIC LIFE SAFETY EMERGENCY SERVICES INC

Field Data
EIN 46-5238695
Case Number EO-2015065-000324
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATLANTIC LIFE SAFETY EMERGENCY SERVICES INC
Organization’s Mailing Address 1174 SAND HILL ROAD
City HOPE MILLS
State NC
ZIP 28348-9529
Accounting period End 12
Primary contact name ANDREW G MCLEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW MCLEAN
EXECUTIVE DIRECTOR
1174 SAND HILL ROAD
HOPE MILLS NC 28348-9529

Officer/Director/Trustee Two

CASANDRA DENEKAMP
SECRETARY/TREASURER
1174 SAND HILL ROAD
HOPE MILLS NC 28348-9529

Organization’s website WWW.ATLANTICLIFESAFETY.ORG
Organization’s email ADMIN@ATLANTICLIFESAFETY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, 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 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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