FORM 1023-EZ for OTHERSIDE FOUNDATION INC

Field Data
EIN 87-2020709
Case Number EO-2021272-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTHERSIDE FOUNDATION INC
Organization’s Mailing Address 5669 POST MILL CT
City BUFORD
State GA
ZIP 30518
Accounting period End 12
Primary contact name DANIEL M DURHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL DURHAM
PRES&TRES&SEC&DIR&FOUNDE
5669 POST MILL CT
BUFORD GA 30518

Officer/Director/Trustee Two

RYAN STUHLER
DIRECTOR
7420 OLIVIA VIEW CT
CUMMING GA 30028

Officer/Director/Trustee Three

LIGON DURHAM
DIRECTOR
1900 WESLYAN DR APT 1905
MACON GA 31210

Organization’s website WWW.OTHERSIDEFOUNDATION.ORG
Organization’s email DANIEL@OTHERSIDEFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 DANIEL DURHAM
Signature Title PRES&TRES&SEC&DIR&FOUNDE
Signature Date 9/27/2021

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