FORM 1023-EZ for GA HA AREA

Field Data
EIN 83-0693125
Case Number EO-2019051-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GA HA AREA
Organization’s Mailing Address 2189 SEAMAN CIRCLE
City CHAMBLEE
State GA
ZIP 30341
Accounting period End 12
Primary contact name JONATHON WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHON WILLIAMS
DELEGATE
2189 SEAMAN CIRCLE
CHAMBLEE GA 30341

Officer/Director/Trustee Two

BEN LASSITER
CHAIR
2997 LASSITER RD
MARIETTA GA 30062

Officer/Director/Trustee Three

DAVID EAST
DELEGATE
2916 PORTER GLADE CT
DORAVILLE GA 30360

Officer/Director/Trustee Four

CLAY BARR
VICE-CHAIR
1650 BARNES MILL RD APT 2437
MARIETTA GA 30062

Organization’s website GEORGIAHA.ORG
Organization’s email CHAIR@GEORGIAHA.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 JONATHON WILLIAMS
Signature Title DELEGATE
Signature Date 2/18/19

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