FORM 1023-EZ for LAWRENCE MOND JEFFERSON JR MEMORIALFOUNDATION

Field Data
EIN 81-3115519
Case Number EO-2019277-000481
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAWRENCE MOND JEFFERSON JR MEMORIALFOUNDATION
Organization’s Mailing Address 2107 5TH AVENUE NORTH SUITE 300
City BIRMINGHAM
State AL
ZIP 35203
Accounting period End 12
Primary contact name CARTHENIA JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARTHENIA JEFFERSON
PRESIDENT
2107 4TH AVENUE NORTH STE 300
BIRMINGHAM AL 35203

Officer/Director/Trustee Two

LISA BIMBO
VICE PRESIDENT
1360 STONEHURST DRIVE
BIRMINGHAM AL 35235

Officer/Director/Trustee Three

WANDA RAGLAND
SECRETARY
1768 WINEWOOD ROAD
BIRMINGHAM AL 35215

Officer/Director/Trustee Four

STEPHANIE HUNTER
TREASUER
1823 3RD AVENUE N
BIRMINGHAM AL 35020

Officer/Director/Trustee Five

DARYLE FAYE EVANS
ASSISTANT TREASURER
6800 NORFOLK COURT
MOBILE AL 36608

Organization’s website WWW.LAWRENCEMONDJEFFERSONJRFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/16
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARTHENIA JEFFERSON
Signature Title PRESIDENT
Signature Date 9/30/19
EIN 81-3115519
Case Number EO-2017121-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWRENCE MOND JEFFERSON JR FOUNDATION
Organization’s Mailing Address 2107 5TH AVENUE N
City BIRMINGHAM
State AL
ZIP 35203
Accounting period End 12
Primary contact name CARTHENIA JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARTHENIA JEFFERSON
PRESIDENT
2107 5TH AVENUE NORTH SUITE 300
BIRMINGHAM AL 35203

Officer/Director/Trustee Two

G COURTNEY FRENCH
VICE PRESIDENT
600 LUCKIE DRIVE
BIRMINGHAM AL 35223

Officer/Director/Trustee Three

LISA BIMBO
SECRETARY
1360 STONEHURST DRIVE
BIRMINGHAM AL 35235

Officer/Director/Trustee Four

STEPHANIE HUNTER
TREASURER
1823 3RD AVENUE N
BESSEMER AL 35020

Officer/Director/Trustee Five

REGINALD MCDANIEL
PARLIAMENTARIAN
3720 4TH AVENUE SOUTH
BIRMINGHAM AL 35222

Organization’s website WWW.LAWRENCEMONDJEFFERSONJRFOUNDATION.COM
Organization’s email INFO@LAWRENCEMONDJEFFERSONJRFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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
Signature Title
Signature Date

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