FORM 1023-EZ for I AM DIABETES AWARENESS

Field Data
EIN 47-3319228
Case Number EO-2019165-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM DIABETES AWARENESS
Organization’s Mailing Address 3642 HENDRICKS AVE
City MEMPHIS
State TN
ZIP 38111
Accounting period End 12
Primary contact name TERRANCE THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE THOMAS
PRESIDENT
3642 HENDRICKS AVE
MEMPHIS TN 38111

Officer/Director/Trustee Two

EUGENE PARTEE
SECRETARY
7689 NEW FOUND GAP
MEMPHIS TN 38125

Officer/Director/Trustee Three

KEVIN HUBBERT
TREASURER
3408 GREEN DR
LITTLE ROCK AR 72209

Organization’s website
Organization’s email IAMDIABETESAWARENESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/15
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 TERRANCE THOMAS
Signature Title PRESIDENT
Signature Date 6/12/19

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