FORM 1023-EZ for ELIJSHAS DREAM

Field Data
EIN 47-2714800
Case Number EO-2015141-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIJSHAS DREAM
Organization’s Mailing Address 12900 FREEMANVILLE ROAD
City MILTON
State GA
ZIP 30004
Accounting period End 12
Primary contact name SUSIE AGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSIE AGA
FOUNDER
12900 FREEMANVILLE RD
MILTON GA 30004

Officer/Director/Trustee Two

RICK CARPENTER
PRESIDENT
12460 CRABAPPLE RD SUITE 202-243
ALPHARETTA GA 30004

Officer/Director/Trustee Three

TRISH CARPENTER
TREASURER
12460 CRABAPPLE RD SUITE 202-243
ALPHARETTA GA 30004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 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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