FORM 1023-EZ for PCOS WORKX FOUNDATION

Field Data
EIN 85-2851048
Case Number EO-2020252-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PCOS WORKX FOUNDATION
Organization’s Mailing Address 964 RALPH D ABERNATHY BLVD SW ST C8
City ATLANTA
State GA
ZIP 30310
Accounting period End 12
Primary contact name TAMI BARBER REEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMI BARBER REEDY
EXECUTIVE DIRECTOR
7419 BAYSIDE TRAIL
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

RAVEN REEDY
ASSISTANT EXECUTIVE DIRECTOR
7419 BAYSIDE TRAIL
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

KAREN BARBER
TREASURE
4243 WINDING TRAIL LANE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

CRYSTAL THOMAS
SECRETARY
3409 REDWOOD FOREST LANE
POWDER SPRINGS GA 30127

Officer/Director/Trustee Five

CHIQUITA BENTON
ASSISTANT SECRETARY
4962 GATE HOUSE WAY
STONE MOUNTAIN GA 30088

Organization’s website PCOSWORKXFOUNDATION.ORG
Organization’s email PCOSWORKXFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMI BARBER REEDY
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/3/2020

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