FORM 1023-EZ for A SUPPORTIVE SHOULDER FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2311657 |
| Case Number | EO-2019280-000166 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | A SUPPORTIVE SHOULDER FOUNDATION |
| Organization’s Mailing Address | 740 KIRKLY WAY |
| City | FAIRBURN |
| State | GA |
| ZIP | 30213 |
| Accounting period End | 12 |
| Primary contact name | CHEVONNE JONES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHEVONNE JONES
PRESIDENT
740 KIRKLY WAY
FAIRBURN GA 30213
Officer/Director/Trustee Two
COSBY SMITH
VICE PRESIDENT
6555 LAKE ESTHER DRIVE
FAIRBURN GA 30213
Officer/Director/Trustee Three
KIMBERLY KENYATTA
SECRETARY
5280 ARGYLL LANE
DOUGLASVILLE GA 30135
Officer/Director/Trustee Four
CHANIECE SMITH
TREASURER
902 POPLAR POINTE DRIVE
COLLEGE PARK GA 30349
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/19 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes 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 | Yes |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | CHEVONNE JONES |
| Signature Title | PRESIDENT |
| Signature Date | 10/3/19 |
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