FORM 1023-EZ for ALPHONSE BREAST CANCER FOUNDATION

Field Data
EIN 84-2534253
Case Number EO-2019291-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALPHONSE BREAST CANCER FOUNDATION
Organization’s Mailing Address 785 NW KINGSTON STREET
City PORT SAINT LUCIE
State FL
ZIP 34983
Accounting period End 12
Primary contact name MARTINE ALPHONSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTINE ALPHONSE
PRESIDENT
785 NW KINGSTON STREET
PORT SAINT LUCIE FL 34983

Officer/Director/Trustee Two

MARIE FALAISE
TREASURER
2120 WILMINGTON STREET
OPA LOCKA FL 33054

Officer/Director/Trustee Three

ADELINE DESPINOS
BOARD MEMBER
1366 SE RIVERGREEN CIR
PORT SAINT LUCIE FL 34952

Officer/Director/Trustee Four

MARIE REMY
BOARD MEMBER
1826 SW PENROSE STREET
PORT SAINT LUCIE FL 34953

Officer/Director/Trustee Five

GUERDA MAURICE
BOARD MEMBER
6233 NW GISELA STREET
PORT SAINT LUCIE FL 34986

Organization’s website ALPHONSEBREASTCANCER.FOUNDATION
Organization’s email INFO@ALPHONSEBREASTCANCER.FOUNDATION
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARTINE ALPHONSE
Signature Title PRESIDENT
Signature Date 10/16/19

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