FORM 1023-EZ for EMERALD GEMS INC

Field Data
EIN 83-4290458
Case Number EO-2019220-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERALD GEMS INC
Organization’s Mailing Address 4150 BONILLO DRIVE APT 114
City SAN DIEGO
State CA
ZIP 92115
Accounting period End 12
Primary contact name DAVIDA TAMEKA NUBIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVIDA NUBIA
EXECUTIVE DIRECTOR
4150 BONILLO DRIVE APT 114
SAN DIEGO CA 92115

Officer/Director/Trustee Two

AERIAKA JACOBS
TREASURER
4150 BONILLO DRIVE APT 114
SAN DIEGO CA 92115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 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 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 DAVIDA NUBIA
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/6/19

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