FORM 1023-EZ for INA HAYNES FOUNDATION

Field Data
EIN 83-2025305
Case Number EO-2019091-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INA HAYNES FOUNDATION
Organization’s Mailing Address 12625 LIGHTHOUSE POINTE COURT
City ALPHARETTA
State GA
ZIP 30005
Accounting period End 12
Primary contact name FAITH VICKERIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FAITH VICKERIE
DIRECTOR
12625 LIGHTHOUSE POINTE COURT
ALPHARETTA GA 30005

Officer/Director/Trustee Two

SIMONE MORGAN
DIRECTOR
12625 LIGHTHOUSE POINTE COURT
ALPHARETTA GA 30005

Officer/Director/Trustee Three

CHRISTOPHER PRESLEY
DIRECTOR
12625 LIGHTHOUSE POINTE COURT
ALPHARETTA GA 30005

Officer/Director/Trustee Four

JUSTIS MORGAN
DIRECTOR
12625 LIGHTHOUSE POINTE COURT
ALPHARETTA GA 30005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 FAITH VICKERIE
Signature Title DIRECTOR
Signature Date 3/27/19

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