FORM 1023-EZ for SKYS ANGEL VAN FOUNDATION INC

Field Data
EIN 47-4807665
Case Number EO-2015231-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SKYS ANGEL VAN FOUNDATION INC
Organization’s Mailing Address 256 LAKE DR
City DORAVILLE
State GA
ZIP 30340
Accounting period End 7
Primary contact name ROBERT S BEXLEY ATTORNEY-IN-FACT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES REGNA
PRESIDENT
256 LAKE DRIVE
DORAVILLE GA 30340

Officer/Director/Trustee Two

JAYME REGNA
TREASURER
256 LAKE DRIVE
DORAVILLE GA 30340

Officer/Director/Trustee Three

JOYCE BOLING
SECRETARY
971 A MATHIS AIRPORT RD
SUWANEE GA 30024

Officer/Director/Trustee Four

ASHLEY VANDIVER
DIRECTOR
37 MARTHAS PL NW
CARTERSVILLE GA 30121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 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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