FORM 1023-EZ for GREENHAVEN BUSINESS ALLIANCE INC

Field Data
EIN 81-3827265
Case Number EO-2016328-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREENHAVEN BUSINESS ALLIANCE INC
Organization’s Mailing Address PO BOX 362198
City DECATUR
State GA
ZIP 30036
Accounting period End 12
Primary contact name KATHRYN RICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IVRY ATLEE
BOARD MEMBER
5159 BIG A RD
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

DEAN HEARD
BOARD MEMBER
PO BOX 1416
REDAN GA 30074

Officer/Director/Trustee Three

KATHRYN RICE
BOARD MEMBER
1611 WOODHURST COURT
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Four

TOM WALTON
BOARD MEMBER
2273 MARYLAND COURT
DECATUR GA 30032

Officer/Director/Trustee Five

HAKIM YAMINI
BOARD MEMBER
3737 REDAN ROAD
DECATUR GA 30032

Organization’s website N/A
Organization’s email GBAINC01@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 No
One Third Support Gifts Yes
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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