FORM 1023-EZ for STEVEN NELSON FOUNDATION INC

Field Data
EIN 81-3460693
Case Number EO-2016226-000016
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEVEN NELSON FOUNDATION INC
Organization’s Mailing Address 306 MEADOWRIDGE DR
City WARNER ROBINS
State GA
ZIP 31093
Accounting period End 12
Primary contact name JOSH ARNOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH ARNOLD
PRESIDENT, DIRECTOR
306 MEADOWRIDGE DR
WARNER ROBINS GA 31093

Officer/Director/Trustee Two

K SCOTT MALONE
VICE PRESIDENT, DIRECTOR
3051 WATSON BLVD STE 400
WARNER ROBINS GA 31093

Officer/Director/Trustee Three

RODERICK ALLEN SR
SECRETARY, DIRECTOR
518 CLEMSON DR
WARNER ROBINS GA 31093

Officer/Director/Trustee Four

DON HUDSON
TREASURER, DIRECTOR
617 POST OAK WAY
WARNER ROBINS GA 31088

Officer/Director/Trustee Five

JARED ADKINSON
DIRECTOR
305 FRANKLIN SQUARE
BONAIRE GA 31005

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2016
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 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
Signature Title
Signature Date

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