FORM 1023-EZ for I AM WORTHY FOUNDATION INC

Field Data
EIN 47-3027850
Case Number EO-2015040-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I AM WORTHY FOUNDATION INC
Organization’s Mailing Address 130 VILLA DI ESTE TERRACE UNIT 204
City LAKE MARY
State FL
ZIP 32746-1631
Accounting period End 12
Primary contact name ARTHUR KEITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARTHUR KEITH
PRESIDENT/CHAIRPERSON
130 VILLA DI ESTE TER UNIT 204
LAKE MARY FL 32746-1631

Officer/Director/Trustee Two

ANGELA SLANEY
TREASURER
730 SANCTUARY DRIVE
OVIEDO FL 32766-6612

Officer/Director/Trustee Three

AMANDA MAY- KEITH
VICE PRESIDENT
130 VILLA DI ESTE TER UNIT 204
LAKE MARY FL 32746-1631

Officer/Director/Trustee Four

KAREN NOELLE
SECRETARY
3802 CALIBER BEND APT 1502
WINTER PARK FL 32792-8651

Officer/Director/Trustee Five

RHONDA MARTINEZ
DIRECTOR
700 SEABROOK COURT APT 204
ALTAMONTE SPRINGS FL 32714-7620

Organization’s website WWW.IAMWORTHYFOUNDATION.COM
Organization’s email ARTHUR@IAMWORTHYFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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