FORM 1023-EZ for DENNIS E HARRIS DIABETIC FOUNDATIONINC

Field Data
EIN 32-0602730
Case Number EO-2019200-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DENNIS E HARRIS DIABETIC FOUNDATIONINC
Organization’s Mailing Address 1227 ROCKBRIDGE RD SW STE 208-63
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name CALVIN HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALVIN HARRIS
PRESIDENT, DIRECTOR
1227 ROCKBRIDGE RD SW STE 208-63
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

SHARMIE FARRINGTON
SECRETARY, DIRECTOR
1227 ROCKBRIDGE RD SW STE 208-63
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

DELANO LIGHTBOURNE
TREASURER, DIRECTOR
1227 ROCKBRIDGE RD SW STE 208-63
STONE MOUNTAIN GA 30087

Organization’s website WWW.DENNISEHARRISDIABETICFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/19
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: 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 Yes
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 CALVIN HARRIS
Signature Title PRESIDENT, DIRECTOR
Signature Date 7/17/19

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