FORM 1023-EZ for BECOME FOUNDATION

Field Data
EIN 83-3077931
Case Number EO-2019035-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BECOME FOUNDATION
Organization’s Mailing Address 1245 SOUTH SUNBURY RD SUITE 102
City WESTERVILLE
State OH
ZIP 43081
Accounting period End 12
Primary contact name LEXA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LADONNA CROSBY
PRESIDENT
566 VIRGINIA ST
ASHVILLE OH 43103

Officer/Director/Trustee Two

NIKKALA BRIGGS
VICE PRESIDENT
7983 LINN HIPSHER ROAD
CALEDONIA OH 43314

Officer/Director/Trustee Three

STACEY OWENS
TREASURER
11946 ELDER LANE
LITHOPOLIS OH 43136

Officer/Director/Trustee Four

BRITTEN HOYLE
SECRETARY
10627 SKYLINE DR
CORNING NY 14830-3263

Officer/Director/Trustee Five

LEXA KING
EXECUTIVE DIRECTOR/FOUNDER
2503 BAY HARBOR DR
GALENA OH 43021

Organization’s website WWW.THEBECOMEFOUNDATION.ORG
Organization’s email BECOMEFOUNDATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 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 LEXA KING
Signature Title EXECUTIVE DIRECTOR/FOUNDER
Signature Date 1/10/19

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