FORM 1023-EZ for K&S WILSON NONPROFIT FOUNDATION INC

Field Data
EIN 84-3493461
Case Number EO-2020021-000675
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name K&S WILSON NONPROFIT FOUNDATION INC
Organization’s Mailing Address 5380 BRICKLEBERRY WAY
City DOUGLASVILLE
State GA
ZIP 30134
Accounting period End 10
Primary contact name STACEY ANN WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH WILSON
OFFICER
5380 BRICKLEBERRY WAY
DOUGLASVILLE GA 30134

Officer/Director/Trustee Two

STACEY ANN WILSON
OFFICER
5380 BRICKLEBERRY WAY
DOUGLASVILLE GA 30134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
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 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 KEITH WILSON
Signature Title OFFICER
Signature Date 1/18/2020

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