FORM 1023-EZ for OBSIDIAN CHARITABLE FOUNDATION INC

Field Data
EIN 85-1375340
Case Number EO-2020164-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OBSIDIAN CHARITABLE FOUNDATION INC
Organization’s Mailing Address 442 CRESTA CIRCLE
City WEST PALM BEACH
State FL
ZIP 33413
Accounting period End 12
Primary contact name CARMELLA MORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMELLA MORTON
DIRECTOR
442 CRESTA CIRCLE
WEST PALM BEACH FL 33413

Officer/Director/Trustee Two

DERREK MORTON
DIRECTOR
442 CRESTA CIRCLE
WEST PALM BEACH FL 33413

Officer/Director/Trustee Three

ROBIN FISHER
DIRECTOR
442 CRESTA CIRCLE
WEST PALM BEACH FL 33413

Officer/Director/Trustee Four

JASMINE MORTON
DIRECTOR
442 CRESTA CIRCLE
WEST PALM BEACH FL 33413

Officer/Director/Trustee Five

KAHLIL WYCHE
DIRECTOR
442 CRESTA CIRCLE
WEST PALM BEACH FL 33413

Organization’s website
Organization’s email CMORTONPHD@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Correctness Declaration Yes
Signature Name CARMELLA MORTON
Signature Title DIRECTOR
Signature Date 6/10/2020

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