FORM 1023-EZ for KEEP ME ALIVE INC

Field Data
EIN 27-2876223
Case Number EO-2021090-000603
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP ME ALIVE INC
Organization’s Mailing Address 330 RIDGEMONT DRIVE
City FAYETTEVILLE
State GA
ZIP 30215
Accounting period End 12
Primary contact name KRAIG JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZEDDIE PERRY
CFO
4420 CELEBRATION DRIVE
ATLANTA GA 30331

Officer/Director/Trustee Two

KRAIG JENNINGS
CEO
330 RIDGEMONT DRIVE
FAYETTEVILLE GA 30215

Officer/Director/Trustee Three

CORDELL MCKINNEY
SECRETARY
835 MARCUS NYAH COURT
COLLEGE PARK GA 30349

Organization’s website WWW.KEEPMEALIVE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name KRAIG JENNINGS
Signature Title CEO
Signature Date 2/17/2021
EIN 27-2876223
Case Number EO-2015159-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEP ME ALIVE INC DBA H2O ACADEMY INC
Organization’s Mailing Address 120 CAINWOOD COURT EAST
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 12
Primary contact name CORDELL MCKINNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRAIG JENNING
CHAIRMAN
120 CAINWOOD COURT EAST
COLLEGE PARK GA 30349

Officer/Director/Trustee Two

REISHA MCKINNEY
PRESIDENT
835 MARCUS NYAH COURT
COLLEGE PARK GA 30349

Officer/Director/Trustee Three

CRYSTAL COLE
VICE PRESIDENT
2970 CASCADE ROAD
ATLANTA GA 30311

Officer/Director/Trustee Four

CORDELL MCKINNEY
TREASURER
835 MARCUS NYAH COURT
COLLEGE PARK GA 30349

Officer/Director/Trustee Five

FRANCINE SHANNON
SECRETARY
2220 CAMPBELLTON ROAD
ATLANTA GA 30311

Organization’s website WWW.H2OACADEMY.ORG
Organization’s email SWIM.TRITEAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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