FORM 1023-EZ for DIVERSITY INCLUSION SYNDICATE

Field Data
EIN 86-2496186
Case Number EO-2021123-000659
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVERSITY INCLUSION SYNDICATE
Organization’s Mailing Address 5006 SADDLE CREEK CIR
City ELLENWOOD
State GA
ZIP 30294
Accounting period End 12
Primary contact name KELLY DIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY DIGGS
EXECUTIVE DIRECTOR
5006 SADDLE CREEK CIR
ELLENWOOD GA 30294

Officer/Director/Trustee Two

JOY MILES
PRESIDENT
PO BOX 408902
CHICAGO IL 60640

Officer/Director/Trustee Three

CHRISTY FENNER
TREASURER
9509 STONEY RIDGE ROAD
SPRINGDALE MD 20774

Officer/Director/Trustee Four

HALIMA MASON
SECRETARY
6103 MAGNOLIA RIDGE
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Five

STEPHEN ACHILLES
BOARD MEMBER
3899 NE FIFTH COURT
GRESHAM OR 97030

Organization’s website WWW.KHADIJAHTRIATHLETE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 KELLY DIGGS
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/2/2021

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