FORM 1023-EZ for ALEXANDRA O JOHNSON FOUNDATION

Field Data
EIN 47-1256977
Case Number EO-2017237-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALEXANDRA O JOHNSON FOUNDATION
Organization’s Mailing Address 7655 ALEXANDERS RIDGE COVE
City OLIVE BRANCH
State MS
ZIP 38654
Accounting period End 12
Primary contact name KETIA FRANCIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KETIA FRANCIS
PRESIDENT
7655 ALEXANDERS RIDGE COVE
OLIVE BRANCH MS 38654

Officer/Director/Trustee Two

HELEN BROWN
VICE PRESIDENT
2022 WAVERLY GLEN DR
KATY TX 77450

Officer/Director/Trustee Three

MALISSE MONCRIEF
BOARD SECRETARY
BOX 736 RUST COLLEGE
HOLLY SPRINGS MS 38635

Officer/Director/Trustee Four

DIANNE WILLIAMS
BOARD TREASURER
1018 E PINHOOK
LAFAYETTE LA 70501

Officer/Director/Trustee Five

RICK MAUPIN
BOARD ADVISORY MEMBER
13397 SHADOW RIDGE LANE
PEARLAND TX 77584

Organization’s website WWW.ALEXANDRAOJOHNSONFOUNDATION.ORG
Organization’s email ALEXANDRAOJOHNSONFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2013
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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