FORM 1023-EZ for AMEND FOUNDATION
| Field | Data |
|---|---|
| EIN | 38-4136761 |
| Case Number | EO-2020052-000300 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AMEND FOUNDATION |
| Organization’s Mailing Address | 535 SONOMA RD |
| City | JACKSONVILLE |
| State | NC |
| ZIP | 28546 |
| Accounting period End | 12 |
| Primary contact name | ANGIE DEMBY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANGIE DEMBY
CEO
535 SONOMA RD
JACKSONVILLE NC 28546
Officer/Director/Trustee Two
SYLVIA SIMON
TRUSTEE
17 CLARION CT
NEWARK DE 19977
Officer/Director/Trustee Three
LIYAH ADAMS
SECRETARY
535 SONOMA RD
JACKSONVILLE NC 28546
Officer/Director/Trustee Four
GEMERE ADAMS
BOOKING AGENT
535 SONOMA RD
JACKSONVILLE NC 28546
| Organization’s website | WWW.AMENDFOUNDATION.ORG |
|---|---|
| Organization’s email | AMENDFOUNDATION553@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/29/2020 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: No Religious: Yes Educational: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ANGIE DEMBY |
| Signature Title | CEO |
| Signature Date | 2/19/2020 |
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