FORM 1023-EZ for AGAPE1969

Field Data
EIN 47-4213992
Case Number EO-2017072-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGAPE1969
Organization’s Mailing Address 7720 THOMAS ROAD 1608
City MOBILE
State AL
ZIP 36695
Accounting period End 12
Primary contact name KIM BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM BARNES
PRESIDENT
7720 THOMAS ROAD 1608
MOBILE AL 36695

Officer/Director/Trustee Two

SHANMEIKIA HARRIS
DIRECTOR
3408 SHERRINGHAM DRIVE
MOBILE AL 36609

Officer/Director/Trustee Three

JACKIE SALTER
DIRECTOR
1663 PRAIRIE DRIVE
MOBILE AL 36605

Organization’s website HTTP://AGAPE1969.WIXSITE.COM/OFFICIAL
Organization’s email AGAPE1969@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 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
Signature Title
Signature Date

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