FORM 1023-EZ for SHAQUILLE CLARK FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 82-3925448 |
| Case Number | EO-2018060-000277 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHAQUILLE CLARK FOUNDATION INC |
| Organization’s Mailing Address | 626 BENJAMIN COURT |
| City | MCDONOUGH |
| State | GA |
| ZIP | 30252 |
| Accounting period End | 12 |
| Primary contact name | MELVENNIA CLARK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELVENNIA CLARK
PRESIDENT
626 BENJAMIN COURT
MCDONOUGH GA 30252
Officer/Director/Trustee Two
THOMAS GRAY
VICE PRESIDENT
1150 HAMMOND DRIVE
ATLANTA GA 30328
Officer/Director/Trustee Three
VENESSA ANDREWS
SECRETARY
5 CONCOURSE PKWAY 3000
ATLANTA GA 30328
Officer/Director/Trustee Four
SHANTEL PHILIPS
BOARD MEMBER
1995 NORTH PARK PL
ATLANTA GA 30339
Officer/Director/Trustee Five
VICTORIA BENNET
BOARD MEMBER
14 BLAIR CLIFF RD
ATLANTA GA 30303
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/22/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J20 - Employment Procurement Assistance, Job Training |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MELVENNIA CLARK |
| Signature Title | PRESIDENT |
| Signature Date | 2/27/18 |
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