FORM 1023-EZ for SERVICE AND HUMANITY FOUNDATION

Field Data
EIN 85-2087567
Case Number EO-2020296-000025
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVICE AND HUMANITY FOUNDATION
Organization’s Mailing Address 552 ORCHARD RIDGE LN
City GREENSBORO
State NC
ZIP 27455-1387
Accounting period End 12
Primary contact name DAVID MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HOLDSCLAW
BOARD MEMBER
30098 BAXTER
CHAPEL HILL NC 27517-6392

Officer/Director/Trustee Two

GARETH WASHINGTON
BOARD MEMBER
4486 VERNON CIRCLE
KERNERSVILLE NC 27284-0131

Officer/Director/Trustee Three

REGINALD BRYANT
BOARD MEMBER
919 WILD WOLF DRIVE
GREESBORO NC 27406-8282

Officer/Director/Trustee Four

TYRONE JOYNER
BOARD MEMBER
3615 CHERRY HILL DR
GREENSBORO NC 27410-9141

Officer/Director/Trustee Five

DAVID MILLER
CHAIR, BOARD OF DIRECTORS
552 ORCHARD RIDGE LN
GREENSBORO NC 27455-1387

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID MILLER
Signature Title CHAIR, BOARD OF DIRECTORS
Signature Date 10/15/2020

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