FORM 1023-EZ for KHAIRI AND LITTLE ANGELS MEMORIAL

Field Data
EIN 47-1338230
Case Number EO-2014262-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KHAIRI AND LITTLE ANGELS MEMORIAL
Organization’s Mailing Address 204 10TH STREET SOUTH
City BESSEMER
State AL
ZIP 35020
Accounting period End 12
Primary contact name TOMEKA WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOMEKA WALKER
PRESIDENT
204 10TH STREET SOUTH
BESSEMER AL 35020

Officer/Director/Trustee Two

VAMESHIA CARMICHAEL
VICE PRESIDENT
3470 BURLINGTON DRIVE
FULTONDALE AL 35068

Officer/Director/Trustee Three

ASHLEY LEWIS
SECRETARY
836 ELLER DRIVE
BIRMINGHAM AL 35215

Officer/Director/Trustee Four

MATTIE WALKER
TREASURER
204 10TH STREET SOUTH
BESSEMER AL 35020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2014
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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 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
Signature Title
Signature Date

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