FORM 1023-EZ for THE ALIZE JOHNSON FOUNDATION INCORPORATED

Field Data
EIN 83-2661860
Case Number EO-2019130-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ALIZE JOHNSON FOUNDATION INCORPORATED
Organization’s Mailing Address 1611 GROVE STREET
City WILLIAMSPORT
State PA
ZIP 17701
Accounting period End 12
Primary contact name JAY LEVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALIZE JOHNSON
PRESIDENT/EXECUTIVE DIRECTOR
6024 ARLINGTON WAY
INDEIANAPOLIS IN 46237

Officer/Director/Trustee Two

CHANELLE JOHNSON
VICE PRESIDENT
46 WASHINGTON BOULEVARD
WILLIAMSPORT PA 17701

Officer/Director/Trustee Three

JANAE JOHNSON
SECRETARY
954 LOUISA STREET
WILLIAMSPORT PA 17701

Officer/Director/Trustee Four

JARON BARTHOLOMEW
TREASURER
224 EAST 9TH STREET
BLOOMSBURG PA 17815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X02 - Management & Technical Assistance
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 JARON BARTHOLOMEW
Signature Title TREASURER
Signature Date 5/8/19

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