FORM 1023-EZ for JOHN SHELLY TIMMONS FOUNDATION

Field Data
EIN 81-4281709
Case Number EO-2017131-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHN SHELLY TIMMONS FOUNDATION
Organization’s Mailing Address 58 CLAPIER STREET
City PHILADELPHIA
State PA
ZIP 19144
Accounting period End 11
Primary contact name WAYNE MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HORACE TIMMONS
EXECUTIVE DIRECTOR
58 CLAPIER STREET
PHILADELPHIA PA 19144

Officer/Director/Trustee Two

WAYNE MARSHALL
EXECUTIVE DIRECTOR
7708 PICKERING AVENUE
PHILADELPHIA PA 19150

Officer/Director/Trustee Three

DAVID KRAIN
C.O.O.
3400 RED LION RD APT 6D
PHILADELPHIA PA 19114

Officer/Director/Trustee Four

VEREESE YOUNG
TREASURER
66 COLE ROAD
TOWNSEND DE 19734

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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