FORM 1023-EZ for EAST AFRICA CHILDRENS HEALTHCARE FOUNDATION INC

Field Data
EIN 82-2154384
Case Number EO-2017222-000588
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST AFRICA CHILDRENS HEALTHCARE FOUNDATION INC
Organization’s Mailing Address 4760 HASTINGS TER
City ALPHARETTA
State GA
ZIP 30005
Accounting period End 12
Primary contact name NONI MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE SHIELDS
PRESIDENT
1820 PEACHTREE STREET NW UNIT 705
ATLANTA GA 30309

Officer/Director/Trustee Two

TYRONE CLEMMONS
SECRETARY
5001 KENDALL STATION NW
ACWORTH GA 30102

Officer/Director/Trustee Three

NONI MAYFIELD
TREASURER
4760 HASTINGS TER
ALPHARETTA GA 30005

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 Yes
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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