FORM 1023-EZ for SHORTY HOWELL FOUNDATION INC

Field Data
EIN 81-2438820
Case Number EO-2016312-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHORTY HOWELL FOUNDATION INC
Organization’s Mailing Address P O BOX 2914
City DULUTH
State GA
ZIP 30096
Accounting period End 10
Primary contact name TARA STARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA STARR
PRESIDENT
5096A BEVERLY GLEN VILLAGE LANE
NORCROSS GA 30092

Officer/Director/Trustee Two

ANGELA JOHNSON FLOOD
TREASURER
3673 WASSAW LANE
BERKELEY LANE GA 30096

Officer/Director/Trustee Three

JOAN KOBER
SECRETARY
2795 SHELTER COVE
DULUTH GA 30096

Officer/Director/Trustee Four

NONE NONE
NONE
NONE
NONE GA 30000

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE GA 30000

Organization’s website
Organization’s email SHORTYHOWELLPARKFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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