FORM 1023-EZ for HENRY TELLIS FOUNDATION INC

Field Data
EIN 46-0536521
Case Number EO-2015259-000351
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY TELLIS FOUNDATION INC
Organization’s Mailing Address 3529 OAK SHADOW CT
City MONTGOMERY
State AL
ZIP 36116-1915
Accounting period End 12
Primary contact name CHARLES JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD MARKWELL
PRESIDENT
8806 OLD MAGNOLIA WAY
MONTGOMERY AL 36116-6608

Officer/Director/Trustee Two

SAM FISHER
TREASURER
237 CAROLINA CT
MONTGOMERY NC 36117-4382

Officer/Director/Trustee Three

CHARLES JACKSON
SECRETARY
9248 CONCORD PARK DR
MONTGOMERY AL 36117-9301

Organization’s website WWW.HENRYTELLIS.COM
Organization’s email INFO@HENRYTELLIS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2012
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-0536521
Case Number EO-2014279-000507
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY TELLIS FOUNDATION INC
Organization’s Mailing Address 3529 OAK SHADOW CT
City MONTGOMERY
State AL
ZIP 36116-1915
Accounting period End 12
Primary contact name CHARLES JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN WORD
PRESIDENT
120 KINGFISHER LANE
MILLS RIVER NC 36116-1915

Officer/Director/Trustee Two

SAM FISHER
TREASURER
237 CAROLINA CT
MONTGOMERY NC 36117-4382

Officer/Director/Trustee Three

CHARLES JACKSON
SECRETARY
9248 CONCORD PARK DR
MONTGOMERY AL 36117-9301

Organization’s website WWW.HENRYTELLIS.COM
Organization’s email INFO@HENRYTELLIS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2012
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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