FORM 1023-EZ for SIMONE 4 CHILDREN

Field Data
EIN 20-0323513
Case Number EO-2015268-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMONE 4 CHILDREN
Organization’s Mailing Address PO BOX 7275
City ATLANTA
State GA
ZIP 30357
Accounting period End 10
Primary contact name SIMONE EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SIMONE EDWARDS
PRESIDENT
1650 ANDERSON MILL ROAD 8103
AUSTELL GA 30106

Officer/Director/Trustee Two

JILL GALLAGHER
OFFICER AND DIRECTOR
2022 2ND AVENUE NORTH
SEATTLE WA 98109

Officer/Director/Trustee Three

ENID ANGUS
SECRETARY
9697 MAJESTIC WAY
BOYTON BEACH FL 33437

Officer/Director/Trustee Four

JOBANA TYSON
TREASURER
1650 ANDERSON MILL ROAD 8103
AUSTELL GA 30106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2002
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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