FORM 1023-EZ for ACUITY FOUNDATION

Field Data
EIN 86-2631105
Case Number EO-2021098-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACUITY FOUNDATION
Organization’s Mailing Address 3010 SHARPSBURG CIRCLE
City BIRMINGHAM
State AL
ZIP 35213
Accounting period End 12
Primary contact name SHRONICA DENISE MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHRONICA MOSS
PRESIDENT
3010 SHARPSBURG CIRCLE
BIRMINGHAM AL 35213

Officer/Director/Trustee Two

DANA BROWN
VICE PRESIDENT
401 CLOVER DRIVE
ADAMSVILLE AL 35005

Officer/Director/Trustee Three

JERMAINE DOVINE
TREASURER
4170 ELM AVE UNIT 116
LONG BEACH CA 90807

Organization’s website
Organization’s email ACUITYFOUNDATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2021
Organization Incorporation State AL
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: No
Literary: Yes
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 SHRONICA MOSS
Signature Title PRESIDENT
Signature Date 3/15/2021

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