FORM 1023-EZ for ALIVE WELL IN CHRIST FOUNDATION

Field Data
EIN 47-2361273
Case Number EO-2015110-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALIVE WELL IN CHRIST FOUNDATION
Organization’s Mailing Address 1000 FREMONT AVENUE 208
City SOUTH PASADENA
State CA
ZIP 91030
Accounting period End 12
Primary contact name MOIRA-CECILY BRADY-ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOIRA CECILY BRADY ROGERS
PRESIDENT
1535 HAZELWOOD AVENUE
LOS ANGELES CA 90041

Officer/Director/Trustee Two

ELIZABETH FABER
CHAIR OF BOARD
2009 TONDOLEA LANE
LA CANADA CA 91011

Officer/Director/Trustee Three

SALLY EVANS
VICE-PRESIDENT
15001 OTSEGO
SHERMAN OAKS CA 91403

Officer/Director/Trustee Four

STEPHANIE JENKINS
SECRETARY
1117 NORTH AVENUE 64
LOS ANGELES CA 90042

Officer/Director/Trustee Five

NICHOLE ROLLO
TREASURER
382 13TH STREET
BROOKLYN NY 11215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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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