FORM 1023-EZ for ANGEL ON A MISSION

Field Data
EIN 61-1948459
Case Number EO-2020041-000434
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGEL ON A MISSION
Organization’s Mailing Address 989 MONTICELLO HIGHWAY
City GRAY
State GA
ZIP 31032
Accounting period End 12
Primary contact name LATRAVIUS SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKEISHA CLEVELAND
PRESIDENT
989 MONTICELLO HIGHWAY
GRAY GA 31032

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAKEISHA CLEVELAND
Signature Title PRESIDENT
Signature Date 2/6/2020

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