FORM 1023-EZ for SHEILA JONES YOUTH AND SENIOR FOUNDATION INC

Field Data
EIN 46-1226757
Case Number EO-2015098-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHEILA JONES YOUTH AND SENIOR FOUNDATION INC
Organization’s Mailing Address 3246 AMHURST DR NW
City ATLANTA
State GA
ZIP 30318-5902
Accounting period End 12
Primary contact name SHEILA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHEILA JONES
CEO
3246 AMHURST DR NW
ATLANTA GA 30318-5902

Officer/Director/Trustee Two

CATHERINE REVIERE
CFO
3412 COLLIER COURT
ATLANTA GA 30331-1509

Officer/Director/Trustee Three

DELORES LATTIMORE
SECRETARY
3688 BOLFAIR DRIVE
ATLANTA GA 30331-3306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2012
Organization Incorporation State GA
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: Yes
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 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 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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