FORM 1023-EZ for KP CARES DBA HBCU CULTURE LEGACY FOUNDATION

Field Data
EIN 84-4819099
Case Number EO-2020058-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KP CARES DBA HBCU CULTURE LEGACY FOUNDATION
Organization’s Mailing Address 4725 WALTON XING SW 6213
City ATLANTA
State GA
ZIP 30331-6029
Accounting period End 12
Primary contact name FRANK JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LA KEISHA JOHNSON
PRESIDENT
4725 WALTON XING SW APT 6213
ATLANTA GA 30331-6029

Officer/Director/Trustee Two

BERNARD WILLIAMS
DIRECTOR
116 WINDMEADOW WAY
FAYETTEVILLE GA 30214-5316

Officer/Director/Trustee Three

GERARD CALVIN
DIRECTOR
314 AUSTIN DR
OXFORD GA 19363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 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 LA KEISHA JOHNSON
Signature Title PRESIDENT
Signature Date 2/25/2020

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