FORM 1023-EZ for STEVENSON MILLER FOUNDATION

Field Data
EIN 46-5070239
Case Number EO-2016057-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEVENSON MILLER FOUNDATION
Organization’s Mailing Address PO BOX 191
City HEMPSTEAD
State NY
ZIP 11551
Accounting period End 12
Primary contact name TATIANNA MOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TATIANNA MOTT
PRESIDENT
108 LUCILLE ST
HEMPSTEAD NY 11550-5844

Officer/Director/Trustee Two

CRYSTAL MILLER
VICE PRESIDENT
122 PRINCETON ST
HEMPSTEAD NY 11550-2704

Officer/Director/Trustee Three

ROBERT MILLER
TREASURER
122 PRINCETON ST
HEMPSTEAD NY 11550-2704

Officer/Director/Trustee Four

FRANCES STEVENSON-MILLER
SECRETARY
162 WOODSIDE AVE
FREEPORT NY 11520-1240

Officer/Director/Trustee Five

FRANCES NELSON-RIDDICK
TRUSTEE
780 SUMMER AVE
UNIONDALE NY 11553-3309

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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
Signature Title
Signature Date

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