FORM 1023-EZ for AT HOME ALONE

Field Data
EIN 85-3317963
Case Number EO-2020321-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AT HOME ALONE
Organization’s Mailing Address 4000 EAGLE POINTE PARKWAY
City BIRMINGHAM
State AL
ZIP 35242
Accounting period End 11
Primary contact name JEREMY LACEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE CHAVERS
DIRECTOR
4111 AVENUE L
BHAM AL 35208

Officer/Director/Trustee Two

DARLENE GREENE
TREASURER
1378 BESSEMER SUPER HWY
BESSEMER AL 35022

Officer/Director/Trustee Three

ARNEATRIA JONES
SECRETARY
21OO GALLOWAY DR
BHAM AL 35214

Organization’s website WWW.ATHOMEALONE.NET
Organization’s email UNLOCKHEALING20@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIELLE CHAVERS
Signature Title DIRECTOR
Signature Date 11/10/2020

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