FORM 1023-EZ for EBONY EYES FOUNDATION INC

Field Data
EIN 86-2586887
Case Number EO-2021116-000752
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EBONY EYES FOUNDATION INC
Organization’s Mailing Address 6818 PARK EDGE DR
City MADISON
State WI
ZIP 53719-2232
Accounting period End 3
Primary contact name NIKETA MILLER - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKETA MILLER
PRESIDENT - TREASUER
6818 PARK EDGE DR
MADISON WI 53719-2232

Officer/Director/Trustee Two

CHERIE RUMPH
SECRETARY
2513 TALISMAN LANE
MADISON WI 53704-3444

Officer/Director/Trustee Three

KELLY JULIAN
VICE PRESIDENT
2472 PINTO TRL
MCFARLAND WI 53588-9035

Officer/Director/Trustee Four

SAMANTHA GIBBAR
VICE PRESIDENT
450 LOCUST AVE
BURLINGTON NJ 08016-4510

Organization’s website
Organization’s email HELLO@EBONYEYESFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 NIKETA MILLER
Signature Title PRESIDENT - TREASUER
Signature Date 4/24/2021

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