FORM 1023-EZ for MEBRIATA CHILDRENS FOUNDATION INC

Field Data
EIN 86-3419638
Case Number EO-2021152-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEBRIATA CHILDRENS FOUNDATION INC
Organization’s Mailing Address 3880 CHARLTON IVES DR NW
City LILBURN
State GA
ZIP 30047-2789
Accounting period End 12
Primary contact name GENET JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENET JOHNSON
FOUNDER
3880 CHARLTON IVES DR NW
LILBURN GA 30047-2789

Officer/Director/Trustee Two

ENGDA HAGOS
SECRETARY
24 MADISON ST
HAMILTON NY 13346-1106

Officer/Director/Trustee Three

SAMSON HAILU
TREASURER
1704 RIVERLANDING CIR
LAWRENCEVILLE GA 30046-2833

Organization’s website WWW.MEBRIATA.ORG
Organization’s email INFO@MEBRIATA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2021
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 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 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 GENET JOHNSON
Signature Title FOUNDER
Signature Date 5/27/2021

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