FORM 1023-EZ for PEEK-A-BOO VISION

Field Data
EIN 84-2267687
Case Number EO-2019186-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEEK-A-BOO VISION
Organization’s Mailing Address 1525 31ST ST N
City BIRMINGHAM
State AL
ZIP 35234
Accounting period End 12
Primary contact name SCOTTIE Y MCCLANEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTTIE Y MCCLANEY
PRESIDENT
1525 31ST ST N
BIRMINGHAM AL 35234

Officer/Director/Trustee Two

SADE HAMMOND
VICE PRESIDENT
3019 NORWOOD BLVD
BIRMINGHAM AL 35234

Officer/Director/Trustee Three

SHANAVIA MOORE
TREASURER
600 OVERLOOK RD
FULTONDALE AL 35068

Organization’s website
Organization’s email PEEKABOOVC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 SCOTTIE Y MCCLANEY
Signature Title PRESIDENT
Signature Date 7/2/19

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