FORM 1023-EZ for JUSTICE 4 ANIYA FOUNDATION

Field Data
EIN 82-4906878
Case Number EO-2018109-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTICE 4 ANIYA FOUNDATION
Organization’s Mailing Address 14012 BALDWIN AVENUE
City CLEVELAND
State GA
ZIP 44110
Accounting period End 12
Primary contact name MICKHAL GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICKHAL GARRETT
CHIEF EXECUTIVE OFFICER/TREASURER
14012 BALDWIN AVENUE
CLEVELAND OH 44112

Officer/Director/Trustee Two

DENA RICHARDSON
BOARD MEMBER
PO BOX 504
LITHONIA GA 30058

Officer/Director/Trustee Three

RACHEL GARRETT
BOARD MEMBER
5125 E 19TH STREET
INDIANAPOLIS IN 46218

Officer/Director/Trustee Four

MAI CABAN
SECRETARY
14012 BALDWIN AVENUE
CLEVELAND GA 44112

Officer/Director/Trustee Five

DAMIEN WARREN
OPERATIONS MANAGER
1222 HILLTOP
AKRON OH 44313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MICKHAL GARRETT
Signature Title CHIEF EXECUTIVE OFFICER/TREASURER
Signature Date 4/14/18

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