FORM 1023-EZ for COLLAB COMMUNITY INC

Field Data
EIN 83-4461725
Case Number EO-2019228-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLAB COMMUNITY INC
Organization’s Mailing Address 384 NORTHYARDS BLVD NW STE 100
City ATLANTA
State GA
ZIP 30313-2425
Accounting period End 12
Primary contact name BARRY GIVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY GIVENS
DIRECTOR
2112 MARSHALLS LN SE
ATLANTA GA 30316-2825

Officer/Director/Trustee Two

JUSTIN DAWKINS
DIRECTOR
870 MAYSON TURNER RD NW UNIT 1424
ATLANTA GA 30313-2425

Officer/Director/Trustee Three

JEWEL BURK SOLOMON
DIRECTOR
1220 LIBERTY PARKWAY
ATLANTA GA 30313-2425

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 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 BARRY GIVENS
Signature Title DIRECTOR
Signature Date 8/14/19

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