FORM 1023-EZ for PEARLS OF HUMANITY FOUNDATION INCORPORATED

Field Data
EIN 47-4223228
Case Number EO-2015203-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEARLS OF HUMANITY FOUNDATION INCORPORATED
Organization’s Mailing Address 2036 N KIRKWOOD DR
City SHREVEPORT
State LA
ZIP 71118
Accounting period End 12
Primary contact name CYNTHIA D BROOKS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLI COLLINS
PRESIDENT
2036 N KIRKWOOD DR
SHREVEPORT LA 71118

Officer/Director/Trustee Two

LISA TOMKIES
SECRETARY
4512 ALTON STREET
SHREVEPORT LA 71109

Officer/Director/Trustee Three

MELANIE SPENCER
TREASURER
6000 BUNCOMBE RD UNIT 19
SHREVEPORT LA 71129

Officer/Director/Trustee Four

ALICE COOPER
DIRECTOR
543 CANTERBURY LANE
BOSSIER CITY LA 71111

Officer/Director/Trustee Five

MARKEY PIERRE
DIRECTOR
5926 QUAIL RIDGE
SHREVEPORT LA 71129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2015
Organization Incorporation State LA
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: Yes
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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