FORM 1023-EZ for THE ADAM A SMITH LEGACY SICKLE CELLFOUNDATION INC
| Field | Data |
|---|---|
| EIN | 85-3235341 |
| Case Number | EO-2021085-000211 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE ADAM A SMITH LEGACY SICKLE CELLFOUNDATION INC |
| Organization’s Mailing Address | 300 COLONIAL CENTER PKWY STE 100N |
| City | ROSWELL |
| State | GA |
| ZIP | 30076 |
| Accounting period End | 12 |
| Primary contact name | ANN SINGLETON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
REKENA SMITH
PRESIDENT/DIRECTOR
122 MARIAHS WALK
HAMPTON GA 30228
Officer/Director/Trustee Two
KATHY WILFONG
TREASURER/DIRECTOR
2970 MOSSY BRINN CT
MAINEVILLE OH 45039
Officer/Director/Trustee Three
CHERYL KINSEY
SECRETARY
60 LEYLAND CYPRESS WAY
COVINGTON GA 30014
Officer/Director/Trustee Four
DONALD SMITH
VICE PRESIDENT/DIRECTOR
1403 WICKFORD PLACE
HURON OH 44839
Officer/Director/Trustee Five
CRYSTAL HILL
ADVISOR
7155 REGENTS PARK BLVD
TOLEDO OH 43617
| Organization’s website | |
|---|---|
| Organization’s email | REKENA.SMITH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/14/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | REKENA SMITH |
| Signature Title | PRESIDENT/DIRECTOR |
| Signature Date | 2/8/2021 |
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