FORM 1023-EZ for HIP HOP GIVES BACK FOUNDATION

Field Data
EIN 46-1730693
Case Number EO-2017075-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIP HOP GIVES BACK FOUNDATION
Organization’s Mailing Address 5300 MEMORIAL DRIVE SUITE 134
City STONE MOUNTAIN
State GA
ZIP 30083-3148
Accounting period End 12
Primary contact name KONATA NICHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN D AGUIAR
VICE PRESIDENT
958 TUCKAWANNA DR SW
ATLANTA GA 30311

Officer/Director/Trustee Two

JEMIAH BATTLE
SECRETARY
PO BOX 24161
GREENVILLE SC 29616

Officer/Director/Trustee Three

MIKE DELPLEACHE
PRESIDENT
1512 JADE COVE DR
POWDER SPRINGS GA 30127

Officer/Director/Trustee Four

KONATA NICHOLSON
EXECUTIVE DIRECTOR
3408 CHARTER COURT
CONYERS GA 30013

Organization’s website WWW.HIPHOPGIVESBACK.ORG
Organization’s email INFO@HIPHOPGIVESBACK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2012
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 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
Signature Title
Signature Date
EIN 46-1730693
Case Number EO-2015093-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIP HOP GIVES BACK FOUNDATION
Organization’s Mailing Address 1705 HWY 138 SE
City CONYERS
State GA
ZIP 30013-0121
Accounting period End 12
Primary contact name KONATA NICHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE DELPLEACHE
PRESIDENT
156 ODYSSEY TURN
CONYERS GA 30012-3680

Officer/Director/Trustee Two

JAN D AGUIAR
VICE PRESIDENT
929 CHARLES ALLEN DR
ATLANTA GA 30309-4204

Officer/Director/Trustee Three

JEMIAH BATTLE
SECRETARY
PO BOX 24161
GREENVILLE SC 29616-4161

Officer/Director/Trustee Four

KONATA NICHOLSON
OPERATIONS PLANNER
3408 CHARTER COURT
CONYERS GA 30013-6387

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2013
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 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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