FORM 1023-EZ for EXQUISITE PEARLS OF SERVICE FOUNDATION INCORPORATION

Field Data
EIN 85-3345631
Case Number EO-2021063-000748
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXQUISITE PEARLS OF SERVICE FOUNDATION INCORPORATION
Organization’s Mailing Address PO BOX 372
City FORT KNOX
State KY
ZIP 40121
Accounting period End 12
Primary contact name SHIANNE BRENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIANNE BRENT
PRESIDENT
100 CARRIAGE HILLS LN
ELIZABETHTOWN KY 42701-4414

Officer/Director/Trustee Two

NAKESHA MILLSAP
VICE PRESIDENT
1301 JACOBS CT
RADCLIFF KY 40160-2853

Officer/Director/Trustee Three

GERALDINE DESHAUTELLE-RANAUD
TREASURER
218 SONOMA VALLEY
VINE GROVE KY 40175-8181

Officer/Director/Trustee Four

TARA FERGUSON
SECRETARY
1536 REDBUD CIRCLE
RADCLIFF KY 40160-2830

Officer/Director/Trustee Five

ALICIA GREGORY
PARLIAMENTARIAN
17401 CURRY BRANCH RD
LOUISVILLE KY 40245-6538

Organization’s website WWW.AKAMUDELTAOMEGA.COM
Organization’s email MUDELTAOMEGA1908@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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 SHIANNE BRENT
Signature Title PRESIDENT
Signature Date 12/30/2020

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