FORM 1023-EZ for URNTH3CRIB FOUNDATION COMPANY

Field Data
EIN 85-3075110
Case Number EO-2020309-000038
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URNTH3CRIB FOUNDATION COMPANY
Organization’s Mailing Address 3412 FAIRWAY OAKS DR APT A
City LAWRENCEVILLE
State GA
ZIP 30044
Accounting period End 12
Primary contact name ALYSCIA TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALYSCIA TERRY
DIRECTOR
3412 FAIRWAY OAKS DR APT A
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Two

MICHAEL TERRY
DIRECTOR
3412 FAIRWAY OAKS DR APT A
LAWRENCEVILLE GA 30044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 ALYSCIA TERRY
Signature Title DIRECTOR
Signature Date 11/2/2020

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