FORM 1023-EZ for HEELS WITH WHEELS INC

Field Data
EIN 85-2159543
Case Number EO-2021022-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEELS WITH WHEELS INC
Organization’s Mailing Address 8225 MALL PARKWAY 230
City LITHONIA
State GA
ZIP 30038
Accounting period End 12
Primary contact name BARBARA DOCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVAN BASS
CEO/TREASURER/DIRECTOR/PRESIDENT
8225 MALL PARKWAY 230
LITHONIA GA 30038

Officer/Director/Trustee Two

DAVID BASS
TREASURER/DIRECTOR
8225 MALL PARKWAY 230
LITHONIA GA 30038

Officer/Director/Trustee Three

VIRLO BASS
SECRETARY/DIRECTOR
8225 MALL PARKWAY 230
LITHONIA GA 30038

Organization’s website
Organization’s email JAVANBASS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 No
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 JAVAN BASS
Signature Title CEO/TREASURER/DIRECTOR/PRESIDENT
Signature Date 11/29/2020

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