FORM 1023-EZ for CARLISS DAUGHTERS INC

Field Data
EIN 46-2318133
Case Number EO-2017081-000121
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARLISS DAUGHTERS INC
Organization’s Mailing Address 1143 ANNIE LANE
City MABLETON
State GA
ZIP 30126-1587
Accounting period End 12
Primary contact name KATURA BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATURA BARNES
CEO
1143 ANNIE LANE
MABLETON GA 30126-1587

Officer/Director/Trustee Two

CARLIN CARTY
CFO
120 BIG CREEK COURT
ROSWELL GA 30076-8872

Officer/Director/Trustee Three

FAYE DOE
SECRETARY
1414 S AVENUE
EDEN NC 27288-6301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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