FORM 1023-EZ for MY TRIBE INC

Field Data
EIN 84-2346532
Case Number EO-2019196-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY TRIBE INC
Organization’s Mailing Address 3654 HADFIELD DR
City MARIETTA
State GA
ZIP 30062
Accounting period End 12
Primary contact name LAURA RADER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA RADER
PRESIDENT
3654 HADFIELD DR
MARIETTA GA 30062

Officer/Director/Trustee Two

AMY SURASKY
CO PRESIDENT
3214 BURNETTE DR
ROSWELL GA 30075

Organization’s website
Organization’s email MYTRIBEINC22@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: No
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 Yes
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 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 AMY SURASKY
Signature Title CO PRESIDENT
Signature Date 7/12/19

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