FORM 1023-EZ for GEORGIA PHI BETA LAMBDA FOUNDATIONINC
| Field | Data |
|---|---|
| EIN | 58-2230467 |
| Case Number | EO-2020029-000480 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GEORGIA PHI BETA LAMBDA FOUNDATIONINC |
| Organization’s Mailing Address | 465 MEMORIAL DR SE UNIT 681 |
| City | ATLANTA |
| State | GA |
| ZIP | 30312 |
| Accounting period End | 12 |
| Primary contact name | JASON STRICKLAND |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JASON STRICKLAND
CFO
465 MEMORIAL DR SE UNIT 681
ATLANTA GA 30312
Officer/Director/Trustee Two
ANTONIO WATKINS
CEO
80 COHEN WALKER DR
WARNER ROBBINS GA 31088
Officer/Director/Trustee Three
KIM YEVAK
SECRETARY
501 VARSITY ROAD
GRIFFIN GA 30223
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/28/1995 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T12 - Fund Raising and/or Fund Distribution |
| 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | JASON STRICKLAND |
| Signature Title | CFO |
| Signature Date | 1/27/2020 |
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