FORM 1023-EZ for THE KULA CARE FOUNDATION INC

Field Data
EIN 86-2043626
Case Number EO-2021172-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE KULA CARE FOUNDATION INC
Organization’s Mailing Address 260 18TH STREET SUITE 10160
City ATLANTA
State GA
ZIP 30363
Accounting period End 12
Primary contact name COREY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY JOHNSON
PRESIDENT & DIRECTOR
6641 STARLING PLACE
MABLETON GA 30126

Officer/Director/Trustee Two

KIARA GREEN
TREASURER & SECRETARY
6641 STARLING PLACE
MABLETON GA 30126

Officer/Director/Trustee Three

DWAYNE HENDERSON
DIRECTOR
1059 FLAMINGO DRIVE
AUSTELL GA 30168

Officer/Director/Trustee Four

PAULINE FORD
DIRECTOR
3711 AUGER TRAIL
DOUGLASVILLE GA 30135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 COREY JOHNSON
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/17/2021

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