FORM 1023-EZ for KHIRSTEN AZARIA & GENNIYAH FOUNDATION INC

Field Data
EIN 86-3098119
Case Number EO-2021104-000035
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KHIRSTEN AZARIA & GENNIYAH FOUNDATION INC
Organization’s Mailing Address 419 13TH AVE SOUTH
City ST PETERSBURG
State FL
ZIP 33701
Accounting period End 12
Primary contact name DEXTER YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEXTER YOUNG
PRESIDENT
419 13TH AVE SOUTH
ST. PETERSBURG FL 33701

Officer/Director/Trustee Two

ERNEST JOHNSON
VICE PRESIDENT
419 13TH AVE SOUTH
ST. PETERSBURG FL 33701

Officer/Director/Trustee Three

KEVON TURNER
SEC
419 13TH AVE SOUTH
ST. PETERSBURG FL 33701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 DEXTER YOUNG
Signature Title PRESIDENT
Signature Date 4/7/2021

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