FORM 1023-EZ for SHRIMP LIPS FOUNDATION

Field Data
EIN 85-2969931
Case Number EO-2020296-000616
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHRIMP LIPS FOUNDATION
Organization’s Mailing Address 852 GULLIVER DR
City COLUMBUS
State OH
ZIP 43207
Accounting period End 12
Primary contact name DOROTHEA CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHEA CARTER
PRESIDENT
852 GULLIVER DR
COLUMBUS OH 43207

Officer/Director/Trustee Two

JOHNNY CARTER
TREASURER
852 GULLIVER DR
COLUMBUS OH 43207

Officer/Director/Trustee Three

NICHELLE THURSTON
DIRECTOR
852 GULLIVER DR
COLUMBUS OH 43207

Officer/Director/Trustee Four

DONTELL WATSON
SECRETARY
852 GULLIVER DR
COLUMBUS OH 43207

Organization’s website
Organization’s email MS.DCARTER@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JOHNNY CARTER
Signature Title TREASURER
Signature Date 10/19/2020

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