FORM 1023-EZ for GSCV COMMUNITY FOUNDATION

Field Data
EIN 82-2153702
Case Number EO-2019301-000738
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GSCV COMMUNITY FOUNDATION
Organization’s Mailing Address 3330 MADISON STREET
City ATLANTA
State GA
ZIP 30337
Accounting period End 12
Primary contact name ANTHONY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY MITCHELL
FOUNDER/CEO/BOARD MEMBER
707 PARK AVENUE NE
COLLEGE PARK GA 30337

Officer/Director/Trustee Two

MARILYN BATES-MITCHELL
SECRETARY/BOARD MEMBER
3330 MADISON STREET
COLLEGE PARK GA 30337

Officer/Director/Trustee Three

JAKE CURTIS MITCHELL
BOARD MEMBER
385 HOLLY STREET
ATLANTA GA 30318

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - 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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
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 Yes
Correctness Declaration Yes
Signature Name ANTHONY MITCHELL
Signature Title FOUNDER/CEO/BOARD MEMBER
Signature Date 10/25/19

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