FORM 1023-EZ for LIFT ALABAMA

Field Data
EIN 86-3103067
Case Number EO-2021104-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFT ALABAMA
Organization’s Mailing Address 4631 23RD ST
City TUSCALOOSA
State AL
ZIP 35401-5113
Accounting period End 12
Primary contact name KATHERINE WALDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE WALDON
EXECUTIVE DIRECTOR
4631 23RD ST
TUSCALOOSA AL 35401-5113

Officer/Director/Trustee Two

COREY WALDON
PRESIDENT
4631 23RD ST
TUSCALOOSA AL 35401-5113

Officer/Director/Trustee Three

HATTIE BLACKBURN
VICE-PRESIDENT
809 8TH AVENUE
NORTHPORT AL 35476-4911

Officer/Director/Trustee Four

TEYAH POWELL
TREASURER
500 PRAIRIE FIELD DRIVE
TUSCALOOSA AL 35405-9655

Officer/Director/Trustee Five

AMANDA RAMOS
SECRETARY
199 ROSCOMMON ROAD
TUSCALOOSA AL 35405-6127

Organization’s website LIFTAlabama.org
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 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 KATHERINE WALDON
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/7/2021

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