FORM 1023-EZ for CORNELIUS TRAVELERS FOUNDATION

Field Data
EIN 27-5035340
Case Number EO-2016012-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CORNELIUS TRAVELERS FOUNDATION
Organization’s Mailing Address 1620 ORLANDO STREET SW
City ATLANTA
State GA
ZIP 30311-2742
Accounting period End 12
Primary contact name MICHAEL HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL HAYES
PRINCIPAL EXEC OFFICER/ DIRECTOR
1620 ORLANDO ST SW
ATLANTA GA 30311-2742

Officer/Director/Trustee Two

DESHANNA WIGGINS
CHIEF OPERATING OFFICER
1620 ORLANDO ST SW
ATLANTA GA 30311-2742

Officer/Director/Trustee Three

ADIA DIGHTMAN
SECRETARY
1620 ORLANDO ST NW
ATLANTA GA 30311-2742

Officer/Director/Trustee Four

KENYA JAMES
DIRECTOR
1620 ORLANDO ST SW
ATLANTA GA 30311-2742

Officer/Director/Trustee Five

TAIMUR CASE
DIRECTOR
1620 ORLANDO ST SW
ATLANTA GA 30311-2742

Organization’s website WWW.CORNELIUSTRAVELERS.ORG
Organization’s email FOUNDER@CORNELIUSTRAVELERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2011
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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