FORM 1023-EZ for CHAMPION HOST HOMES INC

Field Data
EIN 84-3321810
Case Number EO-2020079-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMPION HOST HOMES INC
Organization’s Mailing Address 100 WOODBERRY PLACE APT 1414
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name BRIAN HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN HILL
PRESIDENT
100 WOODBERRY PLACE APT 1414
DECATUR GA 30034

Officer/Director/Trustee Two

AKPAN DUKE
VICE PRESIDFENT
5454 EAST WEST HWY
SMYRNA GA 30080

Officer/Director/Trustee Three

WESTIN BILLOW
SECRETARY
65 BRENDA RD
ATLANTA GA 30338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2019
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 BRIAN HILL
Signature Title PRESIDENT
Signature Date 3/17/2020

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