FORM 1023-EZ for CREATING BEAUTY OUT OF ASHES INC

Field Data
EIN 83-0517601
Case Number EO-2018297-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATING BEAUTY OUT OF ASHES INC
Organization’s Mailing Address 4941 GRANT AVE
City VALDOSTA
State GA
ZIP 31605-7571
Accounting period End 12
Primary contact name DIANE WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE WEST
DIRECTOR
4941 GRANT AVE
VALDOSTA GA 31605-7571

Officer/Director/Trustee Two

DAHLIA WEST
SECRETARY
4941 GRANT AVE
VALDOSTA GA 31605-7571

Officer/Director/Trustee Three

BREANNA COOPER
TREASURER
59WEST BOSTICK
LAKELAND GA 31635-6656

Officer/Director/Trustee Four

PATRICIA COOPER
PRESIDENT
595 GRAND VIEW
STONE MOUNTAIN GA 30087-6060

Officer/Director/Trustee Five

SHIRLEY MCCULLOUGH
VICE PRESIDENT
5420 NW 29TH COURT
MIAMI FL 33142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 DIANE WEST
Signature Title DIRECTOR
Signature Date 10/22/18

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