FORM 1023-EZ for UAWA TEEN OUTREACH

Field Data
EIN 84-2817270
Case Number EO-2019291-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UAWA TEEN OUTREACH
Organization’s Mailing Address 7465 DAVIDSON PWKY SOUTH
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 8
Primary contact name LISA BRYDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA BRYDSON
DIRECTOR
7465 DAVIDSON PWKY SOUTH
STOCKBRIDGE GA 30281

Officer/Director/Trustee Two

SHAMEKA CHAPPLE
OFFICER
2209 BROWNS MILL RD
ATLANTA GA 30015

Officer/Director/Trustee Three

AMINAH BELL
TRUSTEE
4103 HADDON PLACE
MCDONOUGH GA 30253

Organization’s website UAWATEENOUTREACH.ORG
Organization’s email UAWA2019@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA BRYDSON
Signature Title DIRECTOR
Signature Date 10/16/19

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