FORM 1023-EZ for H L NIXON FOUNDATION INC

Field Data
EIN 86-2387238
Case Number EO-2021095-000700
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name H L NIXON FOUNDATION INC
Organization’s Mailing Address 920 50TH STREET SW
City BIRMINGHAM
State AL
ZIP 35221
Accounting period End 12
Primary contact name TAKESHIA NIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAKESHIA NIXON
OFFICERS
920 50TH STREET SW
BIRMINGHAM AL 35221

Officer/Director/Trustee Two

AMBER JACKSON
DIRECTOR
4300 AVENUE F
FAIRFIELD AL 35064

Officer/Director/Trustee Three

RONNIE MCKELLER
DIRECTOR
3461 TACKETT ROAD
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

BRANDI JOHNSON
DIRECTOR
4761 LONGMEADOW DRIVE
BESSEMER AL 35022

Organization’s website
Organization’s email HLNIXONFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAKESHIA NIXON
Signature Title OFFICERS
Signature Date 3/4/2021

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