FORM 1023-EZ for ANGELA CLAXTON FOUNDATION

Field Data
EIN 46-4139283
Case Number EO-2021100-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGELA CLAXTON FOUNDATION
Organization’s Mailing Address 13402 HONEYWAY
City MADISON
State AL
ZIP 35757
Accounting period End 12
Primary contact name JEROME WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME WALLACE
CEO/FOUNDER
13402 HONEYWAY
MADISON AL 35757

Officer/Director/Trustee Two

LAVELL MITCHELL
TREASURER
3016 DOAK DRIVE
HUNTSVILLE AL 35810

Officer/Director/Trustee Three

KATHLEEN SUDDETH
BUSINESS PLANNER
13367 HONEYWAY
MADISON AL 35757

Officer/Director/Trustee Four

SANIYA MITCHELL
STREET TEAM
3016 DOAK DRIVE
HUNTSVILLE AL 35810

Officer/Director/Trustee Five

LATIA WALLACE
SECRETARY
24660 SILENT SPRING DRIVE
ATHENS AL 35613

Organization’s website NA
Organization’s email theangelaclaxtonfoundation@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JEROME WALLACE
Signature Title CEO/FOUNDER
Signature Date 3/25/2021

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