FORM 1023-EZ for LSLD CHANDRA THOMAS FOUNDATION

Field Data
EIN 47-4448144
Case Number EO-2018318-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LSLD CHANDRA THOMAS FOUNDATION
Organization’s Mailing Address 3500 WILLOW TREE TRACE
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name DORCAS HENEGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORCAS HENEGAN
ACCOUNTANT
3619 PANTHERSVILLE RD
DECATUR GA 30034

Officer/Director/Trustee Two

ARLEATHA KINGCADE
PRESIDENT
3500 WILLOW TREE TRACE
DECATUR GA 30034

Officer/Director/Trustee Three

TRACY TURNER
SECRETARY
925 OAKWOOD CHASE CIRCLE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Four

YVONNE HARDNETT
TREASURER
3083 PANTHERS TRACE
DECATUR GA 30034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/15
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DORCAS HENEGAN
Signature Title ACCOUNTANT
Signature Date 11/9/18
EIN 47-4448144
Case Number EO-2015331-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LSLD CHANDRA THOMAS FOUNDATION
Organization’s Mailing Address 3500 WILLOW TREE TRACE
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name DORCAS HENEGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARLEATHA FULGHAM
CHAIR PERSON
3500 WILLOW TREE TRACE
DECATUR GA 30034

Officer/Director/Trustee Two

YVONNE HARDNETT
TREASURER
3083 PANTHERS TRACE
DECATUR GA 30034

Officer/Director/Trustee Three

TRACY TURNER
SECRETARY
3001 BORING RIDGE ROAD
DECATUR GA 30034

Officer/Director/Trustee Four

DORCAS HENEGAN
TRUSTEE
3619 PANTHERSVILLE ROAD
DECATUR GA 30034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 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
Signature Title
Signature Date

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