FORM 1023-EZ for DANIELS-ROGERS FOUNDATION CORPORATION

Field Data
EIN 84-2822933
Case Number EO-2021258-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DANIELS-ROGERS FOUNDATION CORPORATION
Organization’s Mailing Address 6241 MAGNOLIA RIDGE
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name RENEE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK MILLER
BOARD PRESIDENT
2208 HANFRED LANE SUITE 101-10
TUCKER GA 30084

Officer/Director/Trustee Two

GAYE DOBSON
VICE PRESIDENT
4735 SILVERDALE ROAD
COLLEGE PARK GA 30349

Officer/Director/Trustee Three

CARL C BACON
TREASURER
4403 NORTHSIDE PARKWAY-1425
ATLANTA GA 30327

Officer/Director/Trustee Four

ALTA J CANNADY
SECRETARY
3313 HAMPTON POINT DRIVE APT B
SILVER SPRINGS MD 20904

Officer/Director/Trustee Five

KRYSTAL SHARPENSON
MEMBER
5630 SUMMER MEADOW PASS
STONE MOUNTAIN GA 30087

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
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 No
Signature Name DERRICK MILLER
Signature Title BOARD PRESIDENT
Signature Date 9/13/2021

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