FORM 1023-EZ for TWELVE MEN INC

Field Data
EIN 27-5207892
Case Number EO-2016049-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWELVE MEN INC
Organization’s Mailing Address 1298 ROCKBRIDGE ROAD SUITE D
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name GEOVON K MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH MARTIN
OFFICER
5302 AUTUMN WOODS DRIVE
GREENSBORO NC 27407

Officer/Director/Trustee Two

GABRIEL MARTIN
OFFICER
5526 OLD NATIONAL HWY SUITE C
ATLANTA GA 30349

Officer/Director/Trustee Three

NIKICHELLE TANKS
DIRECTOR
1298 ROCKBRIDGE RD SUITE D
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Four

GEOVON MARTIN
OFFICER
5301 CRAGGANMORE DRIVE
MCLEANSVILLE NC 27301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2011
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J12 - Fund Raising and/or Fund Distribution
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 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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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