FORM 1023-EZ for CALEBS HOUSE INC

Field Data
EIN 26-0041192
Case Number EO-2018260-000628
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALEBS HOUSE INC
Organization’s Mailing Address 525 COBBLESTONE TRAIL
City AVONDALE ESTATES
State GA
ZIP 30002
Accounting period End 12
Primary contact name ANDRE SIFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE SIFFORD
EXECUTIVE DIRECTOR
4000
COVINGTON HWY GA 30032

Officer/Director/Trustee Two

DERRICK BARBEE
PASTOR
4000 COVINGTON HWY
DECATUR GA 30032

Officer/Director/Trustee Three

MARK FLOWERS
BUSINESS OWNER
525 COBBLESTONE TRAIL
AVONDALE ESTATES GA 30032

Officer/Director/Trustee Four

DWIGHT BUCKNER
BUSINESS OWNER
4717 COVINGTON HWY
DECATUR GA 30032

Officer/Director/Trustee Five

JUAQUIN GOULD
VICE-PRESIDENT
525 COBBLESTONE TRAIL
AVONDALE ESTATES GA 30002

Organization’s website
Organization’s email CALEBSHOUSEATL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/08
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
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 Yes
Correctness Declaration Yes
Signature Name ANDRE SIFFORD
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/15/18

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