FORM 1023-EZ for THE HARVEST FOUNDATION INC

Field Data
EIN 82-5448801
Case Number EO-2018171-000604
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HARVEST FOUNDATION INC
Organization’s Mailing Address PO BOX 186
City ROSSVILLE
State GA
ZIP 30741
Accounting period End 12
Primary contact name KENNETH KILLIEBREW JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH KILLIEBREW JR
PRESIDENT, DIRECTOR
7255 LEE HWY APT 807
CHATTANOOGA TN 37421

Officer/Director/Trustee Two

BRIDGETTE ROLLINS
SECRETARY, DIRECTOR
PO BOX 186
ROSSVILLE GA 30741

Officer/Director/Trustee Three

CRYSTAL MATHIS
TREASURER, DIRECTOR
1448 S HWY 341
CHICKAMAUGA GA 30741

Officer/Director/Trustee Four

JASMINE CARSTARPHEN-KILLIEBREW
VICE-PRESIDENT, DIRECTOR
7255 LEE HWY APT 807
CHATTANOOGA TN 37421

Officer/Director/Trustee Five

MORGAN LEWIS
DIRECTOR
84 THREE NOTCH RD
RINGGOLD GA 30736

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 KENNETH KILLIEBREW JR
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/18/18

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