FORM 1023-EZ for LEAH K HALLMAN FOUNDATION INC

Field Data
EIN 83-3091454
Case Number EO-2019036-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEAH K HALLMAN FOUNDATION INC
Organization’s Mailing Address 458 MEHAFFEY DRIVE
City FAIRBURN
State GA
ZIP 30213
Accounting period End 12
Primary contact name KIMBERLY DOOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY DOOLEY
PRESIDENT
458 MEHAFFEY DRIVE
FAIRBURN GA 30213

Officer/Director/Trustee Two

LORA MILLER-EVERIST
SECRETARY
1011 ALAMO PLAZA DRIVE
CEDAR PARK TX 78613

Officer/Director/Trustee Three

KATHEY LONG
TREASURER
435 MOSELEY ROAD
STOCKBRIDGE GA 30281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 No
Correctness Declaration Yes
Signature Name KIMBERLY DOOLEY
Signature Title PRESIDENT
Signature Date 1/18/19

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