FORM 1023-EZ for PAKI TALENT ASSOCIATION & SUCCESSFUL COMMUNITIES

Field Data
EIN 86-1222158
Case Number EO-2021165-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAKI TALENT ASSOCIATION & SUCCESSFUL COMMUNITIES
Organization’s Mailing Address 3379 PEACHTREE ROAD N E SUITE 555
City ATLANTA
State GA
ZIP 30326
Accounting period End 12
Primary contact name DR TILLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD BARNARD
PRESIDENT
7258 BRIDGEPORT COURT
AUSTELL GA 30168

Officer/Director/Trustee Two

EARLENE HAYES
SECRETARY
440 SYLVAN LOOP
FAYETTEVILLE GA 30214

Officer/Director/Trustee Three

ORIETTA CUMBERLAND
TREASURER
4644 POWDER SPRINGS DALLAS RD 2542
POWDER SPRINGS GA 30127

Officer/Director/Trustee Four

MARK BRAILSFORD
MEMBER
3707 MAIN STREET STE 103
COLLEGE PARK GA 30337

Officer/Director/Trustee Five

JONTRELLE TAYLOR
MEMBER
44 PENSACOLA STREET
BAYPOINT CA 94565

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
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 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 JONTRELLE TAYLOR
Signature Title MEMBER
Signature Date 6/10/2021

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