FORM 1023-EZ for PINK HEALS EASTERN ALABAMA INC

Field Data
EIN 83-4345390
Case Number EO-2019182-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINK HEALS EASTERN ALABAMA INC
Organization’s Mailing Address 2 SUGAR FALLS LANE
City ANNISTON
State AL
ZIP 36207
Accounting period End 12
Primary contact name BR WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BR WILSON
CHAIRMAN
2 SUGAR FALLS LANE
ANNISTON AL 36207

Officer/Director/Trustee Two

VAN ROBERTS
DIRECTOR
795 EARL ROBERTS ROAD
ANNISTON AL 36207

Officer/Director/Trustee Three

NANCY BURNELL
DIRECTOR
PO BOX 3556
OXFORD AL 36203

Officer/Director/Trustee Four

MARGARET TAYLOR
DIRECTOR
81 AMY COURT
HEFLIN AL 36203

Officer/Director/Trustee Five

TONY K TAYLOR
DIRECTOR
801 5TH AVENUE NE
JACKSONVILLE AL 36265

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 BR WILSON
Signature Title CHAIRMAN
Signature Date 6/27/19

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