FORM 1023-EZ for THE ERIC HOLZWORTH MEMORIAL FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 83-0837313 |
| Case Number | EO-2018172-000166 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE ERIC HOLZWORTH MEMORIAL FOUNDATION INC |
| Organization’s Mailing Address | 878 BEAVERBROOK DR |
| City | ATLANTA |
| State | GA |
| ZIP | 30318 |
| Accounting period End | 12 |
| Primary contact name | ALYCEN A MOSS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HEATHER HOLZWORTH
PRESIDENT
878 BEAVERBROOK DR
ATLANTA GA 30318
Officer/Director/Trustee Two
DAVID HOLZWORTH
TREASURER
900 LOVINGSTON DR
PITTSBURGH PA 15216
Officer/Director/Trustee Three
DAN HERHOLD
SECRETARY
1860 HILL CHASE
ALPHARETTA GA 30022
Officer/Director/Trustee Four
ALYCEN MOSS
BOARD MEMBER
872 GLENBROOK DR
ATLANTA GA 30318
Officer/Director/Trustee Five
JUAN LLANEZA
BOARD MEMBER
730 GLENCOE ST
DENVER CO 80220
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/1/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ALYCEN MOSS |
| Signature Title | BOARD MEMBER |
| Signature Date | 6/19/18 |
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