FORM 1023-EZ for FRED L AND OCIE B MICKENS CHRISTIANSERVICE AND SCHOLARSHIP FOUNDATION

Field Data
EIN 87-2811623
Case Number EO-2021270-000559
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRED L AND OCIE B MICKENS CHRISTIANSERVICE AND SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 1800 MARTIN LUTHER KING JR DR
City BIRMINGHAM
State AL
ZIP 35211
Accounting period End 12
Primary contact name KATRINA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE CARTER
PRESIDENT
2426 HUNTINGTON GLEN DRIVE
HOMEWOOD AL 35226

Officer/Director/Trustee Two

LASHONDA WADE
SECRETARY
6581 NEWBRIDGE DRIVE
BESSEMER AL 35022

Officer/Director/Trustee Three

JOEL GARDNER
TREASURER
1305 2ND AVENUE NORTH UNIT 107
BIRMINGHAM AL 35203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2021
Organization Incorporation State AL
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: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOEL GARDNER
Signature Title TREASURER
Signature Date 9/24/2021

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