FORM 1023-EZ for HAM-LOU FOUNDATION INC

Field Data
EIN 85-3592222
Case Number EO-2020300-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAM-LOU FOUNDATION INC
Organization’s Mailing Address 4031 NW BETHEL ROAD
City BRISTOL
State FL
ZIP 32321
Accounting period End 12
Primary contact name VELMA SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VELMA SIMMONS
CEO, CFO
135 OCEAN PARKWAY
BROOKLYN NY 11218

Officer/Director/Trustee Two

IMMANUAL SIMMONS
DIRECTOR
4031 NW BETHEL ROAD
BRISTOL FL 32321

Officer/Director/Trustee Three

ALFONZO BROXTON
DIRECTOR
580 REECE DRIVE
HOSCHTON GA 30548

Officer/Director/Trustee Four

HAMBRIC MCGLOCKTON
DIRECTOR
10002 PARK MEADOW DRIVE
HOUSTON TX 77089

Officer/Director/Trustee Five

MILDRED DEMPS
DIRECTOR
4029 NW BETHEL ROAD
BRISTOL FL 32321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 VELMA SIMMONS
Signature Title CEO, CFO
Signature Date 10/22/2020

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