FORM 1023-EZ for MOBILE CPR INSTRUCTORS INC

Field Data
EIN 81-4986655
Case Number EO-2019177-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOBILE CPR INSTRUCTORS INC
Organization’s Mailing Address 931 MONROE DRIVE NE STE A-102-472
City ATLANTA
State GA
ZIP 30308
Accounting period End 12
Primary contact name MARIAMA BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIAMA BELL
PRESIDENT
931 MONROE DRIVE NE SUITE A102
ATLANTA GA 30308

Officer/Director/Trustee Two

PETERS JOYCE
VICE PRESIDENT
1105 WRIGHTS ZELLERS RD
LINCOLNTON GA 30817

Officer/Director/Trustee Three

GEORGE PETSCH
SECRETARY
3199 MAPLE DRIVE NE
ATLANTA GA 30305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 MARIAMA BELL
Signature Title PRESIDENT
Signature Date 6/24/19

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