FORM 1023-EZ for THE TINA CONTEH FOUNDATION

Field Data
EIN 81-3962588
Case Number EO-2016277-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE TINA CONTEH FOUNDATION
Organization’s Mailing Address 4907 MAID MARION DRIVE
City PASCAGOULA
State MS
ZIP 39581
Accounting period End 12
Primary contact name CRYSTA GARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTA GARDNER
PRESIDENT/EXECUTIVE DIRECTOR
4907 MAIDMARION DR
PASCAGOULA MS 39581

Officer/Director/Trustee Two

TIMOTHY GARDNER
ASSISTANT TREASURER/SECRETARY
4907 MAIDMARION DR
PASCAGOULA MS 39581

Officer/Director/Trustee Three

AMRICA CONTEH
BOARD MEMBER
4552B RYAN PLACE
WALDORF MD 20602

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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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