FORM 1023-EZ for FOREVER TWENTY-ONE FALLEN IN HIS TWENTIES LONG LIVE GERRIK FOUNDATION

Field Data
EIN 81-4325555
Case Number EO-2020199-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREVER TWENTY-ONE FALLEN IN HIS TWENTIES LONG LIVE GERRIK FOUNDATION
Organization’s Mailing Address 550 W 117TH ST
City LOS ANGELES
State CA
ZIP 90044
Accounting period End 12
Primary contact name DEMICHA LOFTON-THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEMICHA LOFTON-THOMAS
PRESIDENT
550 W 117TH ST
LOS ANGELES CA 90044

Officer/Director/Trustee Two

GERALD THOMAS
VICE PRESIDENT
550 W 117TH ST
LOS ANGELES CA 90044

Officer/Director/Trustee Three

NICOLLE WIGGINS
TREASURE
1534 W 54TH ST
LOS ANGELES CA 90062

Officer/Director/Trustee Four

KEMISCHA WINSTON
SECRETARY
550 W 117TH ST
LOS ANGELES CA 90044

Officer/Director/Trustee Five

DEVIN WINSTON
BOARD MEMBER
550 W 117TH ST
LOS ANGELES CA 90044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DEMICHA LOFTON-THOMAS
Signature Title PRESIDENT
Signature Date 7/14/2020
EIN 81-4325555
Case Number EO-2017272-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER 21 FALLEN IN HIS TWENTIES LONG LIVE GERRIK FOUNDATION
Organization’s Mailing Address 5445 9TH AVENUE
City LOS ANGELES
State CA
ZIP 90043
Accounting period End 12
Primary contact name DEMICHA LOFTON-THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEMICHA LOFTON-THOMAS
CEO
5445 9TH AVENUE
LOS ANGELES CA 90043

Officer/Director/Trustee Two

GERALD THOMAS
PARTNER
5445 9TH AVENUE
LOS ANGELES CA 90043

Officer/Director/Trustee Three

NICOLLE WIGGINS
BUSINESS MANAGER
13699 TIOGA CT
FONTANA CA 92366

Officer/Director/Trustee Four

ASTRA STENSON
SECRETARY
550 W 117TH ST
LOS ANGELES CA 90044

Officer/Director/Trustee Five

ROSIE ATKINS
TREASURE
1156 E 51ST ST
LOS ANGELES CA 90011

Organization’s website
Organization’s email LONGLIVEGERRIKINC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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
Signature Title
Signature Date

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