FORM 1023-EZ for OSSIE ELISABETH GILLIARD JOHNSON HENRY BARNES EMPOWERMENT FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2279787 |
| Case Number | EO-2019268-000124 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OSSIE ELISABETH GILLIARD JOHNSON HENRY BARNES EMPOWERMENT FOUNDATION |
| Organization’s Mailing Address | PO BOX 223 |
| City | WOODSON |
| State | AR |
| ZIP | 72180 |
| Accounting period End | 12 |
| Primary contact name | PAULA WITHERS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAULA WITHERS
CEO/ EXECUTIVE DIRECTOR
6407 MAIN STREET-PO BOX 223
WOODSON AR 72180
Officer/Director/Trustee Two
FRANK WITHERS
COO/DIRECTOR
6407 MAIN STREET - PO BOX 223
WOODSON AR 72180
Officer/Director/Trustee Three
PHELISA WOODS
CFO/DIRCYOR
3633 WEST SHORE DRIVE
SHERWOOD AR 72120
| Organization’s website | |
|---|---|
| Organization’s email | OSSIE.BARNES.FOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/16/2017 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes Public Safety: Yes 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 | 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 | PAULA WITHERS |
| Signature Title | CEO/ EXECUTIVE DIRECTOR |
| Signature Date | 9/23/2019 |
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