FORM 1023-EZ for PINK MOON FOUNDATION

Field Data
EIN 85-0982937
Case Number EO-2020209-000668
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINK MOON FOUNDATION
Organization’s Mailing Address 1350 SUMMIT ROAD
City ALPHARETTA
State GA
ZIP 30004
Accounting period End 12
Primary contact name MAYA S LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAYA S LAWRENCE
CHAIRPERSON
1350 SUMMIT ROAD
ALPHARETTA GA 30004

Officer/Director/Trustee Two

HILLA OSMAN
VICE CHAIRPERSON
3393 GALLEON DRIVE
ALPHARETTA GA 30004

Officer/Director/Trustee Three

RASHEED SALAHUDDIN
TRESURER
420 BRIERCLIFF DRIVE
COLUMBIA SC 29203

Officer/Director/Trustee Four

ANGEE SUMMERVILLE
SECRETARY
1267 HUNTINGTON PLACE CIRCLE
LITHONIA GA 30058

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, 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 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 MAYA S LAWRENCE
Signature Title CHAIRPERSON
Signature Date 7/20/2020

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