FORM 1023-EZ for TAIRJI LEWIS FOUNDATION INC

Field Data
EIN 85-2520398
Case Number EO-2021104-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAIRJI LEWIS FOUNDATION INC
Organization’s Mailing Address 1300 LORENZO DRIVE
City ATLANTA
State GA
ZIP 30310
Accounting period End 12
Primary contact name GARY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY LEWIS
PRESIDENT
1300 LORENZO DRIVE SW
ATLANTA GA 30310

Officer/Director/Trustee Two

GWEN CLARK
VICE PRESIDENT
1300 LORENZO DRIVE SW
ATLANTA GA 30310

Officer/Director/Trustee Three

TIFFANY CLARK
SECRETARY
1250 CAHABA DRIVE
ATLANTA GA 30310

Officer/Director/Trustee Four

TAIRJI LEWIS
TREASURER
4083 NORTHRIDGE WAY APT 3
NORCROSS GA 30093

Officer/Director/Trustee Five

SCOTT KERNS JR
DIRECTOR
444 HIGHLAND AVE NE SUITE 203
ATLANTA GA 30312

Organization’s website
Organization’s email NOFREEGAME11@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 GARY LEWIS
Signature Title PRESIDENT
Signature Date 4/9/2021

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