FORM 1023-EZ for BIOIGNITE

Field Data
EIN 81-1523901
Case Number EO-2016069-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BIOIGNITE
Organization’s Mailing Address 28307 PLANTATION DRIVE NE
City ATLANTA
State GA
ZIP 30324-2952
Accounting period End 12
Primary contact name KATY LASSAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATY LASSAHN
CEO
1325 SUSSEX PLACE
NORFOLK VA 23508

Officer/Director/Trustee Two

THOMAS BONGIORNO
CFO
710 PEACHTREE STREET NE APT 736
ATLANTA GA 30308

Officer/Director/Trustee Three

EMILY JACKSON
SECRETARY
28307 PLANTATION DRIVE NE
ATLANTA GA 30324-2952

Organization’s website N/A
Organization’s email BIOIGNITECAMPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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