FORM 1023-EZ for ATLANTA MASONIC DISTRICT 3 EAST FOUNDATION INC

Field Data
EIN 83-2962848
Case Number EO-2019031-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLANTA MASONIC DISTRICT 3 EAST FOUNDATION INC
Organization’s Mailing Address 1029 GRACE MARIE LANE
City ELLENWOOD
State GA
ZIP 30294
Accounting period End 12
Primary contact name TEREGINAL WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEREGINAL WALKER
PRESIDENT
1029 GRACE MARIE LANE
ELLENWOOD GA 30294

Officer/Director/Trustee Two

MATTHEW LEWIS
VICE PRESIDENT
2087 JONES ROAD
ATLANTA GA 30318

Officer/Director/Trustee Three

DON DUKES
BOARD MEMBER
3367 GARDEN MILL LANE
ELLENWOOD GA 30294

Officer/Director/Trustee Four

DONZELL JENKINS
TREASURER
2797 PEARL STREET
EAST POINT GA 30344

Officer/Director/Trustee Five

SUSAN GIBSON
SECRETARY
6011 MALLORY ROAD
COLLEGE PARK GA 30349

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
Organization Incorporation State GA
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: Yes
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 TEREGINAL WALKER
Signature Title PRESIDENT
Signature Date 1/2/19

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