FORM 1023-EZ for SELF FOUNDATION

Field Data
EIN 84-3302667
Case Number EO-2019284-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF FOUNDATION
Organization’s Mailing Address 7825 CALDERWOODLANE
City CINCINNATI
State OH
ZIP 45243
Accounting period End 12
Primary contact name ALEXUS HIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXUS HIGHT
PRESIDENT/CEO
7825 CALDERWOOD LANE
CINCINNATI OH 45243

Officer/Director/Trustee Two

ASHLEY WILSON
SECRETARY
10164 WAYNE AVE
CINCINNATI OH 45215

Officer/Director/Trustee Three

JAMIA SCISCO
TREASURER
2596 MADISON RD
CINCINNATI OH 45208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEXUS HIGHT
Signature Title PRESIDENT/CEO
Signature Date 10/8/19

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