FORM 1023-EZ for HER INITIATIVE INC

Field Data
EIN 81-4811045
Case Number EO-2017023-000592
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HER INITIATIVE INC
Organization’s Mailing Address 7509 WATSON CIRCLE
City LOCUST GROVE
State GA
ZIP 30248-7428
Accounting period End 12
Primary contact name NAKESHA SPEED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAKESHA SPEED
EXECUTIVE DIRECTOR
7509 WATSON CIRCLE
LOCUST GROVE GA 30248-7428

Officer/Director/Trustee Two

KATESSA MOODY
TREASURER
3315 S COBB DR SE APT 813471
SMYRNA GA 30081-3108

Officer/Director/Trustee Three

GIOVANNI DORTCH
SECRETARY
4845 PHIPPS DR
MEMPHIS TN 38125-4798

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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
Signature Title
Signature Date

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