FORM 1023-EZ for HOPE INITIATIVE 15-4 INC

Field Data
EIN 82-2689554
Case Number EO-2017321-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE INITIATIVE 15-4 INC
Organization’s Mailing Address 571 FREEDOM TRAIL
City BRUNSWICK
State GA
ZIP 31525
Accounting period End 12
Primary contact name DARRELL DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRELL DAWSON
PRESIDENT
571 FREEDOM TRAIL
BRUNSWICK GA 31525

Officer/Director/Trustee Two

PENNY LUMPKIN
TREASURER
3947 DARIEN HWY
BRUNSWICK GA 31525

Officer/Director/Trustee Three

KATHY MAYNOR
SECRETARY
285 BUCKSWAMP ROAD
BRUNSWICK GA 31523

Officer/Director/Trustee Four

MARGARET GANT
DIRECTOR
176 SHADOW LAKE DRIVE
BRUNSWICK GA 31525

Officer/Director/Trustee Five

MELVIN QUICK
DIRECTOR
142 CROSSBROOK DRIVE
BRUNSWICK GA 31525

Organization’s website
Organization’s email DAWSON256@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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
Signature Title
Signature Date

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