FORM 1023-EZ for NICOLES HOUSE OF HOPE INC

Field Data
EIN 85-0864652
Case Number EO-2020210-000682
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICOLES HOUSE OF HOPE INC
Organization’s Mailing Address 420 NASH CIRCLE SW
City MABELTON
State GA
ZIP 30126-4809
Accounting period End 12
Primary contact name YOLANDA BROWN-JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUTREY CALLOWAY
CHAIR
521 PELTON PLACE
ATLANTA GA 30318-6353

Officer/Director/Trustee Two

RHONDA ANDERSON
SECRETARY
1060 MISTY MEADOWS LANE
HAMPTON GA 30228-6301

Officer/Director/Trustee Three

RODNEY BOWLES
TREASURER
2395 MANOR AVENUE
EAST POINT GA 30344-1062

Officer/Director/Trustee Four

JAMES STONE
MEMBER
455 WINN WAY
DECATUR GA 30030-1707

Officer/Director/Trustee Five

IRIS LAWERY
MEMBER
227 BOLTON ROAD
ATLANTA GA 30318-3511

Organization’s website
Organization’s email YOLANDA@NICOLESHOUSEOFHOPE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2020
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AUTREY CALLOWAY
Signature Title CHAIR
Signature Date 7/24/2020

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