FORM 1023-EZ for THE REGINALD HARRISON FAMILY FOUNDATION INC

Field Data
EIN 90-0635104
Case Number EO-2018218-000566
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REGINALD HARRISON FAMILY FOUNDATION INC
Organization’s Mailing Address 4999 SUSSEX DR
City EVANS
State GA
ZIP 30809-8224
Accounting period End 12
Primary contact name REGINALD HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD HARRISON
PRESIDENT
4999 SUSSEX DR
EVANS GA 30809-8224

Officer/Director/Trustee Two

KAYLA LOOK LOY
SECRETARY
2933 HENRY ST APT 35
AUGUSTA GA 30909-3877

Officer/Director/Trustee Three

SETH MCDOUGAL
CFO
1202 MERSAC CT
AUGUSTA GA 30909-2331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/10
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name REGINALD HARRISON
Signature Title PRESIDENT
Signature Date 8/2/18

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