FORM 1023-EZ for KEEP IMANI FOUNDATION CORPORATION
| Field | Data |
|---|---|
| EIN | 85-1049309 |
| Case Number | EO-2020217-000119 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KEEP IMANI FOUNDATION CORPORATION |
| Organization’s Mailing Address | 975 WYNNBROOK LANE |
| City | JONESBORO |
| State | GA |
| ZIP | 30238 |
| Accounting period End | 12 |
| Primary contact name | DERRICK HILL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DERRICK HILL
CONSULTANT
819 SOUTHLAND FOREST WAY
STONE MOUNTAIN GA 30087
Officer/Director/Trustee Two
DORIAN BELL
BOARD CHAIR
975 WYNNBROOK LANE
JONESBORO GA 30238
Officer/Director/Trustee Three
CORLISS FLEMING
BOARD MEMBER
5737 VININGS RETREAT WAY
MABELTON GA 30126
Officer/Director/Trustee Four
KIMBERLEY HEIGHTS
BOARD MEMBER
6400 ROBINS TRACE
STONE MOUNTAIN GA 30087
Officer/Director/Trustee Five
SHARON MATHEWS
BOARD MEMBER
12649 SIMMONS ROAD
HAMPTON GA 30228
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/7/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O20 - Youth Centers, Clubs, Multipurpose |
| 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 | DERRICK HILL |
| Signature Title | CONSULTANT |
| Signature Date | 8/2/2020 |
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