FORM 1023-EZ for AMARIS INFERTILITY SUPPORT SERVICES
| Field | Data |
|---|---|
| EIN | 85-3705956 |
| Case Number | EO-2021064-000442 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AMARIS INFERTILITY SUPPORT SERVICES |
| Organization’s Mailing Address | 3674 WILLOW TREE CIR |
| City | DOUGLASVILLE |
| State | GA |
| ZIP | 30135 |
| Accounting period End | 12 |
| Primary contact name | TIFFANY CANTY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY CANTY
PRESIDENT
3674 WILLOW TREE CIRCLE
DOUGLASVILLE GA 30135
Officer/Director/Trustee Two
TAMARA MILLS-WYRICK
VICE PRESIDENT
201 CARDIGAN CIRCLE
LILBURN GA 30047
Officer/Director/Trustee Three
KIZZY LEWIS
SECRETARY
4071 BUTTERNUT PLACE
ATLANTA GA 30349
Officer/Director/Trustee Four
LATARA JOHNSON-TAYLOR
TREASURER
575 LAKESIDE VIEW
FAIRBURN GA 30213
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/30/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E40 - Reproductive Health Care Facilities and Allied Services |
| 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 | Yes |
| 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 | TIFFANY CANTY |
| Signature Title | PRESIDENT |
| Signature Date | 1/4/2021 |
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