FORM 1023-EZ for MILLER BROOKS FAMILY FOUNDATION

Field Data
EIN 85-3436296
Case Number EO-2021033-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLER BROOKS FAMILY FOUNDATION
Organization’s Mailing Address 1977 JONES AVE
City ATLANTA
State GA
ZIP 30318
Accounting period End 12
Primary contact name TOMIKA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMIKA MILLER
PRESIDENT
1977 JONES AVE
ATLANTA GA 30318

Officer/Director/Trustee Two

TERRACIA WILKINSON
EXECUTIVE DIRECTOR
4251 SINGLETREE DR
DOUGLASVILLE GA 30135

Officer/Director/Trustee Three

TITANISSHA MCCRAY
SECRETARY
4209 REESHEMAH ST
ATLANTA GA 30349

Officer/Director/Trustee Four

SHALISHA MCKOY
TREASURER
7886 WOODLAKE DR
RIVERDALE GA 30274

Organization’s website
Organization’s email TOMIKAMILLER24@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRACIA WILKINSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/14/2020

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