FORM 1023-EZ for HENRY FOUNDATION INC

Field Data
EIN 26-3588573
Case Number EO-2017170-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENRY FOUNDATION INC
Organization’s Mailing Address 2300 SUMMERFIELD ROAD
City SELMA
State AL
ZIP 36701
Accounting period End 12
Primary contact name CHRISTY HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTY HENRY
PRESIDENT - CEO
1050 GLENBROOK WAY
HENDERSONVILLE TN 37075

Officer/Director/Trustee Two

MYLETTE NORA
SECRETARY
2538 7TH AVE
LOS ANGELES CA 90018

Officer/Director/Trustee Three

RODNEY CRENSHAW
CHAIRMAN
1138 GERMANTOWN PARKWAY
CORDOVA TN 38016

Officer/Director/Trustee Four

AARON HOLLINGSWORTH
TREASURER
6002 QUINTESSA DR
WESLEY CHAPEL NC 28104

Officer/Director/Trustee Five

ANGELO JONES
EXECUTIVE DIRECTOR
501 S 54TH ST
PHILADELPHIA PA 19143

Organization’s website HENRYFOUNDATION.US
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2008
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
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
Signature Title
Signature Date

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