FORM 1023-EZ for EMERGE FOUNDATION INC

Field Data
EIN 81-2401733
Case Number EO-2016217-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMERGE FOUNDATION INC
Organization’s Mailing Address 111 COTTON BEND DR
City HUNTSVILLE
State AL
ZIP 35824
Accounting period End 12
Primary contact name DESHONDRA TEAGUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESHONDRA TEAGUE
PRESIDENT/DIRECTOR
111 COTTON BEND DR
HUNTSVILLE AL 35824

Officer/Director/Trustee Two

MARY KELLY
TREASURER/DIRECTOR
218 8TH AVE NW
DECATUR AL 35601

Officer/Director/Trustee Three

SHANNON SCALES
SECRETARY/DIRECTOR
3798 PRYOR RD
MADISON AL 35756

Organization’s website
Organization’s email SHONDRA102@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2016
Organization Incorporation State AL
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 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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