FORM 1023-EZ for BREEZEES YOUTH STAFFING AGENCY

Field Data
EIN 85-2438902
Case Number EO-2020297-000777
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREEZEES YOUTH STAFFING AGENCY
Organization’s Mailing Address 147 INVERNESS TRACE
City RIVERDALE
State GA
ZIP 30274
Accounting period End 12
Primary contact name TINA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALVA JONES
FOUNDER
147 INVERNESS TRACE
RIVERDALE GA 30274

Officer/Director/Trustee Two

AARONETTA HILMAN
PRESIDENT
340 SAWGRASS VIEW
FAIRBURN GA 30572

Officer/Director/Trustee Three

SAMANTHA BADGETT
TREASURER
5510 VILLAGE TRACE
UNION CITY GA 30271

Officer/Director/Trustee Four

NONA KERRY FOUSE
SECRETARY
6021 PRESERVE PASS
FAIRBURN GA 30213

Officer/Director/Trustee Five

LINDA JONES
ASST. SECRETARY
147 INVERNESS TRACE
RIVERDALE GA 30274

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 ALVA JONES
Signature Title FOUNDER
Signature Date 10/21/2020

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