FORM 1023-EZ for UNITED GLH SEA ISLANDS FOUNDATION

Field Data
EIN 82-4469882
Case Number EO-2018068-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED GLH SEA ISLANDS FOUNDATION
Organization’s Mailing Address 6819 MANCHA ST
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 12
Primary contact name DELESSIA KINCADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN SIMMONS
CEO
1163 E 148TH ST
CLEVELAND OH 44110

Officer/Director/Trustee Two

DELESSIA KINCADE
CFO
6819 MANCHA ST
COLLEGE PARK GA 30349

Officer/Director/Trustee Three

PETER SIMMONS
COO
PO BOX 421
YERMO CA 92398

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 DELESSIA KINCADE
Signature Title CFO
Signature Date 3/7/18

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