FORM 1023-EZ for NUBICORP INC

Field Data
EIN 85-1769406
Case Number EO-2021130-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NUBICORP INC
Organization’s Mailing Address 1566 DEBBIE DR SW
City MABLETON
State GA
ZIP 30126
Accounting period End 12
Primary contact name DUSHAUN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSHAUN SMITH
PRESIDENT AND CEO
1566 DEBBIE DR SW
MABLETON GA 30126

Officer/Director/Trustee Two

JAMES HENDERSON
VP AND CFO
3640 VILLAGE PARKWAY
DOUGLASVILLE GA 30135

Organization’s website WWW.NUBICORP.ORG
Organization’s email DSMITH@NUBICORP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DUSHAUN SMITH
Signature Title PRESIDENT AND CEO
Signature Date 5/6/2021

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