FORM 1023-EZ for AMOS FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3056324 |
| Case Number | EO-2019042-000463 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AMOS FOUNDATION |
| Organization’s Mailing Address | 7820 BELL TOWER LANE |
| City | FAIRBURN |
| State | GA |
| ZIP | 30213 |
| Accounting period End | 12 |
| Primary contact name | DAWNYALE SHAW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BOBBIE THOMAS
PRESIDENT
1409 STANDISH AVE
OKLAHOMA CITY GA 73117
Officer/Director/Trustee Two
CYNTHIA VINEY
VICE PRESDIENT
4809 DOUGLAS BLVD
DOUGLASVILLE GA 30135
Officer/Director/Trustee Three
CARLESS COX
MEMBER
2209 NW 17TH AVE
CAPE CORAL FL 33993
Officer/Director/Trustee Four
DEONTAE THOMAS
MEMBER
313 NW 87TH ST
OKLAHOMA OK 73117
Officer/Director/Trustee Five
CHIANTE MCCOUFFMIN
MEMBER
117 AMY RD
HAZELHURST GA 31539
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/19 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | BOBBIE THOMAS |
| Signature Title | PRESIDENT |
| Signature Date | 2/9/19 |
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