FORM 1023-EZ for ALEX THE AMBASSADOR WORLD OF WELLNESS

Field Data
EIN 87-2234006
Case Number EO-2021235-000537
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEX THE AMBASSADOR WORLD OF WELLNESS
Organization’s Mailing Address 5300 HWY 138 APT 1110
City UNION CITY
State GA
ZIP 30291
Accounting period End 12
Primary contact name SEIBRA MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEIBRA MASON
DIRECTOR
5300 HWY 138 APT 1110
UNION CITY GA 30291

Officer/Director/Trustee Two

MYRON MITCHELL
QUALITY ENGINEER
11290 WAVERLY DRIVE
NEW ORLEANS LA 70128

Officer/Director/Trustee Three

ALBERT LONDON ARRINGTON
CEO E3
2729 2ND ST
MONTGOMERY AL 36108

Officer/Director/Trustee Four

DAVID BOLER
BUSINESS OWNER
4459 YUPON RIDGE
HOUSTON TX 77072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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 SEIBRA MASON
Signature Title DIRECTOR
Signature Date 8/20/2021

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