FORM 1023-EZ for CROWNED BY JEWELS INC

Field Data
EIN 85-3733382
Case Number EO-2021103-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROWNED BY JEWELS INC
Organization’s Mailing Address 801 WITHERSPOON CT
City MCDONOUGH
State GA
ZIP 30253
Accounting period End 12
Primary contact name SHAQUILLA SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAQUILLA SHELTON
PRESIDENT
801 WITHERSPOON CT
MCDONOUGH GA 30253

Officer/Director/Trustee Two

ANGEL LUCAS
TREASURER
PO BOX 390143
SNELLVILLE GA 30039

Officer/Director/Trustee Three

ANNA KINSEY
SECRETARY
3924 PINEHURST VALLEY DR
DECATUR GA 30034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2020
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAQUILLA SHELTON
Signature Title PRESIDENT
Signature Date 4/6/2021

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