FORM 1023-EZ for LEANBACK GIVEBACK FOUNDATION
| Field | Data |
|---|---|
| EIN | 87-1878346 |
| Case Number | EO-2021210-000472 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LEANBACK GIVEBACK FOUNDATION |
| Organization’s Mailing Address | PO BOX 26421 |
| City | WINSTON SALEM |
| State | NC |
| ZIP | 27114 |
| Accounting period End | 12 |
| Primary contact name | CRISSY FAISON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CRISSY FAISON
CHIEF EXECUTIVE OFFICER
1880 LEGACY PARK APT 304
WINSTON SALEM NC 27103
Officer/Director/Trustee Two
THOMAS FAISON
EXECUTIVE OFFICER
203 STAPLETON WAY
HIGH POINT NC 27265
Officer/Director/Trustee Three
DEBRA FRANKLIN
EXECUTIVE OFFICER
223 SUMMIT LAKE DR
APEX NC 27523
Officer/Director/Trustee Four
KIMBERLY HARRIS
EXECUTIVE OFFICER
1277 PRESTIGE LANE
ST LOUIS MO 63137
| Organization’s website | WWW.LEANBACKGIVEBACK.ORG |
|---|---|
| Organization’s email | CONTACTUS@LEANBACKGIVEBACK.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/27/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K30 - Food Service, Free Food Distribution Programs |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | CRISSY FAISON |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 7/28/2021 |
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