FORM 1023-EZ for HOPE 4 ADAM FOUNDATION

Field Data
EIN 84-2776227
Case Number EO-2021252-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE 4 ADAM FOUNDATION
Organization’s Mailing Address PO BOX 924
City NORTH MYRTLE BEACH
State SC
ZIP 29597
Accounting period End 12
Primary contact name VENITA RANDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TENIKA BANKS
OFFICER
3861 B CIRCLE ROAD
LONGS SC 29568

Officer/Director/Trustee Two

VANESSA RANDALL
DIRECTOR OF SERVICES
7803 ANDOVER WOODS DRIVE
CHARLOTTE NC 28210

Officer/Director/Trustee Three

MARLON EVANS
TRUSTEE
322 MAPLE AVENUE
WAUKESHA WI 53186

Officer/Director/Trustee Four

ROBIN JOHNSON
TRUSTEE
6909 HIGHWAY 66
LORIS SC 29569

Officer/Director/Trustee Five

CARESHA LADSON
DIRECTOR OF SERVICES
10 TRADD CT
CLOUMBIA SC 29209

Organization’s website
Organization’s email AMAZINGADAM2213@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2020
Organization Incorporation State SC
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 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 MARLON EVANS
Signature Title TRUSTEE
Signature Date 9/7/2021

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