FORM 1023-EZ for THE MONTRAVIUS ADAMS LEGACY FOUNDATION INC

Field Data
EIN 84-3429593
Case Number EO-2019360-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MONTRAVIUS ADAMS LEGACY FOUNDATION INC
Organization’s Mailing Address 603 TIMBERLAND DR
City CORDELE
State GA
ZIP 31015-5138
Accounting period End 12
Primary contact name MONTRAVIUS ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONTRAVIUS ADAMS
PRESIDENT
603 TIMBERLAND DR
CORDELE GA 31015-5138

Officer/Director/Trustee Two

LATEISHA RAY
DIRECTOR
603 TIMBERLAND DR
CORDELE GA 31015-5138

Officer/Director/Trustee Three

DEBBIE YOUNG
DIRECTOR
603 TIMBERLAND DR
CORDELE GA 31015-5138

Officer/Director/Trustee Four

ADAM LANGLEY
DIRECTOR
603 TIMBERLAND DR
CORDELE GA 31015-5138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 MONTRAVIUS ADAMS
Signature Title PRESIDENT
Signature Date 12/23/2019

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