FORM 1023-EZ for RESOURCE AND PROMOTION OF HEALTH ALLIANCE INC

Field Data
EIN 26-1247175
Case Number EO-2019297-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESOURCE AND PROMOTION OF HEALTH ALLIANCE INC
Organization’s Mailing Address 171 GRAVES RD
City FAYETTEVILLE
State GA
ZIP 30214
Accounting period End 12
Primary contact name LISA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALISHA BROWN
COO
171
FAYETTEVILLE GA 30214

Officer/Director/Trustee Two

MIRIAM BURNETT
CEO
8106 CEDAR RD
ELKINS PARK PA 19027

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/07
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 MIRIAM BURNETT
Signature Title CEO
Signature Date 10/22/19

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