FORM 1023-EZ for ORINGINAL AMERICAN FOUNDATION

Field Data
EIN 85-3815593
Case Number EO-2021088-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORINGINAL AMERICAN FOUNDATION
Organization’s Mailing Address 288 S 40TH ST UNIT 31843
City PHILADELPHIA
State PA
ZIP 19140
Accounting period End 11
Primary contact name STARCHILD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOVIAN PATTERSON
CHAIRMAN/FOUNDER
288 S 40TH ST UNIT 31843
PHILADELHIA PA 19140

Officer/Director/Trustee Two

ROBERT HALEY
VICE CHAIRMAN
1826 S VODGES ST
PHILADELPHIA PA 19143

Officer/Director/Trustee Three

EMILIO REASON
SECRETARY
46 WALNUT ST
CLIFTON HEIGHTS PA 19018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 Yes
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 JOVIAN PATTERSON
Signature Title CHAIRMAN/FOUNDER
Signature Date 2/12/2021

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