FORM 1023-EZ for KHADIJA BOWENS FONDATION INC

Field Data
EIN 84-1829222
Case Number EO-2021267-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KHADIJA BOWENS FONDATION INC
Organization’s Mailing Address 1416 W PACIFIC STREET
City PHILADELPHIA
State PA
ZIP 19140
Accounting period End 6
Primary contact name KHADIJA BOWENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KHADIJA BOWENS
PRESIDENT
1416 W PACIFIC STREET
PHILADELPHIA PA 19140

Officer/Director/Trustee Two

TONYETTA BROWN
VICE PRESIDENT
5326 N 12TH STREET
PHILADELPHIA PA 19141

Officer/Director/Trustee Three

ANTOINENE FULLARD
SECRETARY TREASURY
1635 MARKET STREET
PHILADELPHIA PA 19103

Organization’s website
Organization’s email KBOWENSBASKETBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 KHADIJA BOWENS
Signature Title PRESIDENT
Signature Date 9/22/2021

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