FORM 1023-EZ for TYRELL ADAMS FOUNDATION

Field Data
EIN 83-4606869
Case Number EO-2020191-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TYRELL ADAMS FOUNDATION
Organization’s Mailing Address 7561 PETAL PLACE
City ATLANTA
State GA
ZIP 30213
Accounting period End 12
Primary contact name JORDAN ATWATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRELL ADAMS
CEO
3363 CUMBERLAND CLUB DR
ATLANTA GA 30339

Officer/Director/Trustee Two

JORDAN ATWATER
CFO
7561 PETAL PLACE
FAIRBURN GA 30213

Officer/Director/Trustee Three

WYKETIA MCPHERSON
SECRETARY
3363 CUMBERLAND CLUB DR
ATLANTA GA 30339

Officer/Director/Trustee Four

AHMAND JOHNSON
ATTORNEY IN FACT
100 SE 2ND ST SUITE 3400
MIAMI FL 33131

Organization’s website TYRELLADAMSFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AHMAND JOHNSON
Signature Title ATTORNEY IN FACT
Signature Date 7/7/2020

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