FORM 1023-EZ for DR BISA FOUNDATION
| Field | Data |
|---|---|
| EIN | 46-3554982 |
| Case Number | EO-2019364-000288 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DR BISA FOUNDATION |
| Organization’s Mailing Address | 1000 RIVER VALLEY DRIVE |
| City | DACULA |
| State | GA |
| ZIP | 30019 |
| Accounting period End | 12 |
| Primary contact name | BISA B LEWIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BISA LEWIS
PRESIDENT & CEO
1000 RIVER VALLEY DRIVE
DACULA GA 30019
Officer/Director/Trustee Two
CAROL DANIEL
CFO/TREASURER
3864 SPRING MEADOW DR
ACWORTH GA 30101
Officer/Director/Trustee Three
TAMIKA MORRISON
SECRETARY
6248 VILLAGE ARBOR LANE
MABELTON GA 30126
| Organization’s website | DRBISA.COM |
|---|---|
| Organization’s email | INFO@DRBISA.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/24/2013 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No 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 | Yes |
| Donation of funds | Yes |
| 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 | BISA LEWIS |
| Signature Title | PRESIDENT & CEO |
| Signature Date | 12/27/2019 |
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