| Field | Data |
|---|---|
| EIN | 84-3528613 |
| Case Number | EO-2019329-000616 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CHANCE ELLISON FOUNDATION INC |
| Organization’s Mailing Address | 3746 LONGVIEW DR |
| City | DOUGLASVILLE |
| State | GA |
| ZIP | 30135 |
| Accounting period End | 12 |
| Primary contact name | STACEY HURLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
STACEY HURLEY
CEO
3746 LONGVIEW DR
DOUGLASVILLE GA 30135
CASSIE KUBICEK
PRESIDENT
2395 PARK AVENUE
LITHIA SPRINGS GA 30122
DEBORAH LAYTON
TREASURER
2384 PARK AVENUE
LITHIA SPRINGS GA 30122
KELLY GREEN
SECRETARY
72 ROSWELL TRAIL
RICHMOND HILL GA 31324
| Organization’s website | WWW.THECHANCEELLISONFOUNDATION.COM |
|---|---|
| Organization’s email | ADMIN@CHANCEELLISON.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/29/19 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| 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 | STACEY HURLEY |
| Signature Title | CEO |
| Signature Date | 11/23/19 |
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