FORM 1023-EZ for THE BURNETT FAMILY FOUNDATION

Field Data
EIN 82-6219625
Case Number EO-2017107-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BURNETT FAMILY FOUNDATION
Organization’s Mailing Address 1756 SIGNATURE CT
City HAMPTON
State GA
ZIP 30228-6096
Accounting period End 12
Primary contact name NICOLETTE L BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MORGAN BURNETT
TRUSTEE
1756 SIGNATURE CT
HAMPTON GA 30228-6096

Officer/Director/Trustee Two

NICOLETTE BURNETT
TRUSTEE
1756 SIGNATURE CT
HAMPTON GA 30228-6096

Officer/Director/Trustee Three

KEVIN CONNNER
TRUSTEE
1100 PEACHTREE ST STE 200
ATLANTA GA 30309-4503

Officer/Director/Trustee Four

ROBERT BROWN
TRUSTEE
1100 PEACHTREE ST STE 200
ATLANTA GA 30309-4503

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2017
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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