FORM 1023-EZ for CODE ORANGE FOR DERRICK FOUNDATIONINC

Field Data
EIN 81-1346384
Case Number EO-2016124-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CODE ORANGE FOR DERRICK FOUNDATIONINC
Organization’s Mailing Address 1305 1/2 BARNARD STREET SUITE 22
City SAVANNAH
State GA
ZIP 31401
Accounting period End 12
Primary contact name UTESA F CHISHOLM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

UTESA CHISHOLM
PRESIDENT
7338 ALBERT STREET
SAVANNAH GA 31406

Officer/Director/Trustee Two

SARITA PITTMAN
BOARD CHAIR
10440 GRAY FOX WAY
SAVANNAH GA 31406

Officer/Director/Trustee Three

RUSSELL CANADY
VICE PRESIDENT
614 STONEBRIDGE CIRCLE
SAVANNAH GA 31406

Officer/Director/Trustee Four

NAKEISHA JONES
TREASURER
15 GREENBRIAR DRIVE
SAVANNAH GA 31419

Officer/Director/Trustee Five

ZELONIA WILLIAMS
SECRETARY
943 STALEY AVE
SAVANNAH GA 31405

Organization’s website WWW.CODEORANGE4DERRICK.COM
Organization’s email CODEORANGE4DERRICK2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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