FORM 1023-EZ for THE CLARK FAMILY FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-0781402 |
| Case Number | EO-2020139-000300 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CLARK FAMILY FOUNDATION |
| Organization’s Mailing Address | 4557 MEADOW CREEK PATH |
| City | LITHONIA |
| State | GA |
| ZIP | 30038 |
| Accounting period End | 12 |
| Primary contact name | RUSSELL CLARK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CYNTHIA JOHNSON-HICKS
BOARD VICE CHAIR
170 LAKELAND CIRCLE
FAYETTEVILLE GA 30215
Officer/Director/Trustee Two
LISA CLARK
BOARD MEMEBER
2309 NORBURY COVE
SMYRNA GA 30080
Officer/Director/Trustee Three
VIVIAN HAZZARD
BOARD MEMEBER
163 MEADOWVIEW
POWDER SPRINGS GA 30127
Officer/Director/Trustee Four
RUSSELL CLARK
BOARD PRESIDENT
4557 MEADOW CREEK PATH
LITHONIA GA 30038
Officer/Director/Trustee Five
PRESTON CLARK
BOARD MEMBER
2522 OAK CREEK LANE
CONYERS GA 30094
| Organization’s website | WWW.CLARKFAMILYFOUNDATION.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/17/2017 |
| 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: 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 | 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 | RUSSELL CLARK |
| Signature Title | BOARD PRESIDENT |
| Signature Date | 5/14/2020 |
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