FORM 1023-EZ for NATIONAL INFANT CLEFT OPERATIONS INCORPORATED

Field Data
EIN 45-5522292
Case Number EO-2020021-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL INFANT CLEFT OPERATIONS INCORPORATED
Organization’s Mailing Address 5530 BUFORD HWY STE 307
City NORCROSS
State GA
ZIP 30071
Accounting period End 12
Primary contact name SHAMEKA RENDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMEKA RENDER
PRESIDENT, DIRECTOR
310 AUTRY ST
NORCROSS GA 30071

Officer/Director/Trustee Two

EMMA JACKSON
SECRETARY, DIRECTOR
201 ETHAN MOOR
JONESBORO GA 30238

Officer/Director/Trustee Three

LATOYAH HICKS
TREASURER, DIRECTOR
2477 HUGHES CT
ATLANTA GA 30331

Officer/Director/Trustee Four

OCTAVIA OLIVER
DIRECTOR
1750 COMMERCE DR
ATLANTA GA 30318

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2012
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SHAMEKA RENDER
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/17/2020

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