FORM 1023-EZ for OMICRON KAPPA ZETA FOUNDATION INC

Field Data
EIN 81-5299343
Case Number EO-2017132-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMICRON KAPPA ZETA FOUNDATION INC
Organization’s Mailing Address 375 SUTHERLAND CIRCLE
City FAYETTEVILLE
State GA
ZIP 30215
Accounting period End 12
Primary contact name AISHA GUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AISHA GUNN
INCORPORATOR
375 SUTHERLAND CIRCLE
FAYETTEVILLE GA 30215-5256

Officer/Director/Trustee Two

TINA DAWSON
INCORPORATOR
4007 RYEGATE COURT SW
CONYERS GA 30094-5086

Officer/Director/Trustee Three

DENISE MCCULLOUGH
INCORPORATOR
1431 BELMONT AVENUE SW
ATLANTA GA 30310-4335

Organization’s website
Organization’s email OKZFOUNDATIONINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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
Signature Title
Signature Date

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