FORM 1023-EZ for CARRIE WILLIAMS PINK FOUNDATION INC

Field Data
EIN 81-0925191
Case Number EO-2020013-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARRIE WILLIAMS PINK FOUNDATION INC
Organization’s Mailing Address 253 AVENTINE LANE
City SMYRNA
State GA
ZIP 30082
Accounting period End 12
Primary contact name JULIA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIA GREEN
PRESIDENT/DIRECTOR
253 AVENTINE LANE
SMYRNA GA 30083

Officer/Director/Trustee Two

TIJWANNA KETTER
VICE PRESIDENT
1658 LILLIWOOD LANE
INDIAN LAND SC 29707

Officer/Director/Trustee Three

DAYNA JONES
TREASURER
949 BURLINGTON DRIVE
AUGUSTA GA 30909

Officer/Director/Trustee Four

TANIKA POWELL
DIRECTOR
1590 ETHANS WAY
MCDONOUGH GA 30252

Officer/Director/Trustee Five

KILAUNA WARE
DIRECTOR
616 LORY LANE
GROVETOWN GA 30313

Organization’s website WWW.CARRYONFORCARRIE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Correctness Declaration Yes
Signature Name JULIA GREEN
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/11/2020
EIN 81-0925191
Case Number EO-2016053-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARRIE WILLIAMS PINK FOUNDATION INC
Organization’s Mailing Address 3390 STRATFORD ROAD NE UNIT 1410
City ATLANTA
State GA
ZIP 30326-1772
Accounting period End 12
Primary contact name JULIA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIA GREEN
PRESIDENT/DIRECTOR
3390 STRATFORD ROAD NE UNIT 1410
ATLANTA GA 30326-1772

Officer/Director/Trustee Two

TIJWANNA KETTER
TREASURER
1658 LILLYWOOD LN
ISLAND LAND SC 29707

Officer/Director/Trustee Three

DAYNA JONES
DIRECTOR
2937 RUNNING CREEK LANE
AUGUSTA GA 30907-3636

Officer/Director/Trustee Four

TANIKA POWELL
DIRECTOR
1590 ETHANS WAY
MCDONOUGH GA 30252-1714

Officer/Director/Trustee Five

KILAUNA EDWARDS
DIRECTOR
2708 BERTRAND ROAD
AUGUSTA GA 30906-3218

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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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