FORM 1023-EZ for EYE TO EYE FAMILY INC

Field Data
EIN 83-3515159
Case Number EO-2019171-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EYE TO EYE FAMILY INC
Organization’s Mailing Address 1760 FALCON CREEK TRAIL
City CUMMING
State GA
ZIP 30041
Accounting period End 12
Primary contact name MICHELLE BREWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BREWER
PRESIDENT
1760 FALCON CREEK TRAIL
CUMMING GA 30041

Officer/Director/Trustee Two

HEIDI NAUSSBAUM
EXECUTIVE DIRECTOR
115 RALSTON COURT
FAYETTEVILLE GA 30215

Officer/Director/Trustee Three

DANIELLE BURDUCEA
FINANCIAL ADVISOR
300 ARLEIGH ROAD
DOUGLASTON NY 11363

Officer/Director/Trustee Four

SARA CLARK
EXECUTIVE DIRECTOR
8670 COVESTONE DRIVE
GAINESVILLE GA 30506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 MICHELLE BREWER
Signature Title PRESIDENT
Signature Date 6/18/19

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