FORM 1023-EZ for CORY JOHNSON FOUNDATION INC

Field Data
EIN 82-1934548
Case Number EO-2019182-000710
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORY JOHNSON FOUNDATION INC
Organization’s Mailing Address 1660 HAMPTON HOLLOW DR
City LAWERENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name STEPHANIE PONTEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNJO HUWER
BOARD MEMBER
213 BROOK LEA COVE
LAWERENCEVILLE GA 30044

Officer/Director/Trustee Two

DEBBIE MILLER-PALMORE
BOARD MEMBER
5383 WINDFERN COURT
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Three

ADONNIS GRANVILLE
BOARD MEMBER
1026 CLUB PLACE
DULUTH GA 30096

Officer/Director/Trustee Four

SHERRI SMITH
BOARD MEMBER
4266 TENNEYSON LANE
AUSTELL GA 30106

Officer/Director/Trustee Five

MARY ROBISON
BOARD MEMBER
4070 INDIAN TRACE SW
LILBURN GA 30047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBBIE MILLER-PALMORE
Signature Title BOARD MEMBER
Signature Date 6/28/19

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