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        <AddressLine1Txt>500 East Mcbee Ave Ste 100 Box 1234</AddressLine1Txt>
        <CityNm>Greenville</CityNm>
        <StateAbbreviationCd>SC</StateAbbreviationCd>
        <ZIPCd>29601</ZIPCd>
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      <PersonNm>Jeanette Brewster</PersonNm>
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      <SignatureDt>2026-09-10</SignatureDt>
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      <PrimaryExemptPurposeTxt>The 621 Foundation was formed to increase community preparedness and reduce preventable deaths from sudden cardiac arrest. The organizations primary purpose is to educate and empower individuals and community organizations to respond effectively to cardiac emergencies by increasing access to CPR and AED education awareness training and resources. The Foundation works to help ensure that lifesaving equipment knowledge and emergency response preparedness are accessible to communities and organizations that may otherwise face barriers to obtaining them.</PrimaryExemptPurposeTxt>
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        <PersonNm referenceDocumentName="CompensationExplanation">Dominique McKnight</PersonNm>
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        <PersonNm referenceDocumentName="CompensationExplanation">Ashanti Sullivan</PersonNm>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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      <ExplanationTxt>The 621 Foundation was established as a nonprofit organization in April 2025 and was in the early stages of organization and development in its first year of operation. In the 2025 tax year the Foundation had limited financial activity receiving a total of $562 in contributions and other funding. The organization incurred only $56.50 in expenses during the year which included $29.50 for checks for its business bank account and $27.00 in bank statement fees. As a newly formed organization the Foundation was in the process of setting up its governance financial systems accounting procedures compliance processes and federal tax-exempt status. The Foundation submitted its application for recognition of exemption under Section 501c3 in 2026 and received IRS approval of its tax-exempt status in July 2026. The Foundation acknowledges that its 2025 Form 990-EZ was not filed by the due date. The late filing took place during the organizations first year of operation while it was establishing its administrative and compliance systems and navigating the process of obtaining federal tax-exempt recognition. The failure to file timely was not intentional. Upon receiving its federal tax-exempt determination the Foundation took steps to bring its reporting obligations up to date and is filing its 2025 Form 990-EZ as soon as possible. The Foundation has also established procedures to track annual federal and state filing deadlines and ensure timely compliance with ongoing reporting requirements. The 621 Foundation respectfully requests abatement of any late-filing penalty due to reasonable cause. The organization acted in good faith had minimal financial activity in its initial year and has implemented corrective measures to prevent similar issues in the future. I declare under penalties of perjury that I have reviewed this statement and to the best of my knowledge and belief the facts stated herein are true correct and complete.</ExplanationTxt>
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