FORM 1023-EZ for KEEP HOPE ALIVE OUTREACH MINISTRY

Field Data
EIN 81-4052892
Case Number EO-2019112-000736
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP HOPE ALIVE OUTREACH MINISTRY
Organization’s Mailing Address 1049 STANDPIPE RD
City HAYNESVILLE
State LA
ZIP 71038
Accounting period End 12
Primary contact name ALEISA NORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEISA NORTON
FOUNDING DRECTOR/PRESIDEN
1049 STANDPIPE RD
HAYNESEILLE LA 71038

Officer/Director/Trustee Two

TAMMY SAMPSON
SECRETARY TREASURER
421 W THIRD ST
HOMER LA 71040

Officer/Director/Trustee Three

PATRICIA BATES
DIRECTOR
148 ARLINGTON DR
HOMER LA 71040

Officer/Director/Trustee Four

CHRISTY RATLIFF
DIRECTOR
204 ORCHARD VALLEY
RUSTON LA 71270

Officer/Director/Trustee Five

BYRON CONERLY
DIRECTOR
2600 CHAN DR 9207
FORT WORTH TX 76140

Organization’s website
Organization’s email ALEISANORTON@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/17
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
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 ALEISA NORTON
Signature Title FOUNDING DRECTOR/PRESIDEN
Signature Date 4/19/19

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