FORM 1023-EZ for LEWIS HOUSE OF CHARITIES INC

Field Data
EIN 87-1284391
Case Number EO-2021228-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEWIS HOUSE OF CHARITIES INC
Organization’s Mailing Address 700 PARK REGENCY PL NE 505
City ATLANTA
State GA
ZIP 30326
Accounting period End 12
Primary contact name DAMIA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMIA LEWIS
PRESIDENT
700 PARK REGENCY PL NE 505
ATLANTA GA 30326

Officer/Director/Trustee Two

KEITH CHOPPINS
VICE PRESIDENT
789 HAMMOND DRIVE 405
ATLANTA GA 30328

Officer/Director/Trustee Three

GARY JAMES
SECRETARY
2389 DUNWOODY VILLANGE LN
DUNWOODY GA 30338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 DAMIA LEWIS
Signature Title PRESIDENT
Signature Date 8/12/2021

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