FORM 1023-EZ for THE PATCH WORKS ART AND HISTORY CENTER
| Field | Data |
|---|---|
| EIN | 81-3019564 |
| Case Number | EO-2018183-000378 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE PATCH WORKS ART AND HISTORY CENTER |
| Organization’s Mailing Address | 593 GASKILL STREET SE |
| City | ATLANTA |
| State | GA |
| ZIP | 30316-1111 |
| Accounting period End | 12 |
| Primary contact name | LOUIS JACOB ELSAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID MOORE
PRESIDENT
248 OAKLAND AVENUE SE
ATLANTA GA 30312-2292
Officer/Director/Trustee Two
EDWARD LAURENT
VICE PRESIDENT
224 CARROLL STREET SE
ATLANTA GA 30312-2306
Officer/Director/Trustee Three
DAN THOMPSON
TREASURER
208 BEREAN AVENUE
ATLANTA GA 30316-1104
Officer/Director/Trustee Four
LOUIS JACOB ELSAS
CHIEF EXECUTIVE OFFICER
170 BOULEVARD SE UNIT E311
ATLANTA GA 30312-2370
Officer/Director/Trustee Five
NINA JEAN ELSAS
CURATOR
170 BOULEVARD SE UNIT E311
ATLANTA GA 30312-2370
| Organization’s website | HTTP://WWW.THEPATCHWORKS.ORG |
|---|---|
| Organization’s email | JACOB@THEPATCHWORKS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/1/16 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A54 - History Museums |
| 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 | 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 | Yes |
| 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 | LOUIS JACOB ELSAS |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 6/29/18 |
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