FORM 1023-EZ for THE DR CAROLYNNE PHILLIPS FOUNDATION INC

Field Data
EIN 85-2161345
Case Number EO-2020242-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DR CAROLYNNE PHILLIPS FOUNDATION INC
Organization’s Mailing Address 4780 ASHFORD DUNWOODY ROAD 540-121
City ATLANTA
State GA
ZIP 30338
Accounting period End 12
Primary contact name WILLIAM H MURPHY III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM H MURPHY III
PRESIDENT-CEO
4780 ASHFORD DUNWOODY ROAD
ATLANTA GA 30338

Officer/Director/Trustee Two

DANIELLE MURPHY
VICE PRESIDENT
4780 ASHFORD DUNWOODY
ATLANTA GA 30338

Officer/Director/Trustee Three

ARIAN SIMONE
BOARD MEMBER
P O BOX 311647
ATLANTA GA 31131

Officer/Director/Trustee Four

SHERIKA NEWMAN
BOARD MEMBER
2480 BRIARCLIFF ROAD 6-123
ATLANTA GA 30329

Officer/Director/Trustee Five

CIARRA MCEACHIN
BOARD MEMBER
3305 JEFFERSON CIRCLE S
ATLATNA GA 30341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 WILLIAM H MURPHY III
Signature Title PRESIDENT-CEO
Signature Date 8/26/2020

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