FORM 1023-EZ for BLAIR GABRIELLE JOHNSON MEMORIAL FOUNDATION

Field Data
EIN 61-1426591
Case Number EO-2020111-000519
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAIR GABRIELLE JOHNSON MEMORIAL FOUNDATION
Organization’s Mailing Address 1730 WOODBEND
City CLAREMONT
State CA
ZIP 91711-0121
Accounting period End 12
Primary contact name SABRINA R W JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRINA RW JOHNSON
DIRECTOR
2484 NORTE VISTA
CHINO HILLS CA 91709

Officer/Director/Trustee Two

CHRYSTAL JONES
OFFICER
12922 CANARY ACT
CHINO CA 91710

Officer/Director/Trustee Three

DENISE GILROY
OFFICER
11410 BROOKSHIRE AVE APT 228
DOWNEY CA 90241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2002
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name SABRINA RW JOHNSON
Signature Title DIRECTOR
Signature Date 4/18/2020

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