FORM 1023-EZ for ADDISYN S HOPE INC
| Field | Data |
|---|---|
| EIN | 84-5108157 |
| Case Number | EO-2020132-000357 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ADDISYN S HOPE INC |
| Organization’s Mailing Address | 128 AMELIA DRIVE |
| City | BYRON |
| State | GA |
| ZIP | 31008 |
| Accounting period End | 12 |
| Primary contact name | ANGELA CLAYTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANGELA CLAYTON
PRESIDENT/CEO/DIRECTOR
106 KRIDER COURT
KATHLEEN GA 31047
Officer/Director/Trustee Two
TIFFANY TAYLOR
TREASURER/DIRECTOR
102 COVINGTON COVE
BYRON GA 31008
Officer/Director/Trustee Three
RHEANNA WEST
SECRETARY/DIRECTOR
301 SOUTH CORDER ROAD APT 110
WARNER ROBINS GA 31088
Officer/Director/Trustee Four
ALTHORIA JOHNSON
RESOURCE DEV OFFICER
106 KRIDER COURT
KATHLEEN GA 31047
Officer/Director/Trustee Five
KENDRA VERDELL
SCHLRSHP FUND COORDINATOR
217 VINING WAY
BYRON GA 31008
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/3/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Z99 - Unclassified |
| 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 | ANGELA CLAYTON |
| Signature Title | PRESIDENT/CEO/DIRECTOR |
| Signature Date | 5/8/2020 |
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