FORM 1023-EZ for AMNESTY ART FOUNDATION INCORPORATED

Field Data
EIN 27-0769955
Case Number EO-2016273-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMNESTY ART FOUNDATION INCORPORATED
Organization’s Mailing Address 828 SAYBROOK CIRCLE NW
City LILBURN
State GA
ZIP 30047
Accounting period End 12
Primary contact name SHELTON SHERRILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELTON SHERRILL
DIRECTOR PRESIDENT
828 SAYBROOK CIRCLE NW
LILBURN GA 30047

Officer/Director/Trustee Two

SHARON ROBERTSON
TREASURER
8001 EXETER LANE
COLUMBIA SC 29223-2586

Officer/Director/Trustee Three

DANIEL BLATHERS
DIRECTOR
605 N PRICE ROAD
FLORENCE SC 29506-9072

Officer/Director/Trustee Four

MATTEAH DENICE TAYLOR
SECRETARY
2422 CONGAREE ROAD
EASTOVER SC 29044-9304

Officer/Director/Trustee Five

RUBEN GRESHAM
DIRECTOR
20 LEVEL CREEK RD
SUWANEE GA 30024-1714

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2009
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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