FORM 1023-EZ for ALABAMA HEAL INC

Field Data
EIN 81-3782487
Case Number EO-2021152-000770
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALABAMA HEAL INC
Organization’s Mailing Address 944 18TH ST S STE C
City BIRMINGHAM
State AL
ZIP 15205
Accounting period End 12
Primary contact name NOVA LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOVA LAW
PRESIDENT
944 18TH ST S STE C
BIRMINGHAM AL 15205

Officer/Director/Trustee Two

CONNIE GREEN
VICE PRESIDENT
944 18TH ST S STE C
BIRMINGHAM AL 15205

Officer/Director/Trustee Three

HARRIET BYRD
SECRETARY
944 18TH ST S STE C
BIRMINGHAM AL 15205

Officer/Director/Trustee Four

MICHELE SANDVAGO
TREASURER
944 18TH ST S STE C
BIRMINGHAM AL 15205

Officer/Director/Trustee Five

ANNA HAILEY
BOARD MEMBER
944 18TH ST S STE C
BIRMINGHAM AL 15205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 NOVA LAW
Signature Title PRESIDENT
Signature Date 5/29/2021
EIN 81-3782487
Case Number EO-2017360-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALABAMA HEAL INC
Organization’s Mailing Address 944 18TH ST S
City BIRMINGHAM
State AL
ZIP 35205
Accounting period End 12
Primary contact name NOVA LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOVA LAW
PRESIDENT/TREASURER
944 18TH ST S
BIRMINGHAM AL 35205

Officer/Director/Trustee Two

CONNIE GREEN
VICE PRESIDENT
233 HIGH RIDGE DR
PELHAM AL 35124

Officer/Director/Trustee Three

HARRIET BYRD
SECRETARY
1627 E LAKE BLVD
BIRMINGHAM AL 35217

Officer/Director/Trustee Four

MICHELE SANTIAGO
BOARD MEMBER
606 PATTON CHAPEL TRAIL
HOOVER AL 35226

Officer/Director/Trustee Five

ANNA HAILEY
BOARD MEMBER
1108 GRAND BLVD
BIRMINGHAM AL 35214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/16
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 NOVA LAW
Signature Title PRESIDENT/TREASURER
Signature Date 12/23/17

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