FORM 1023-EZ for IFOCUS G25 MENTORING PROGRAM

Field Data
EIN 83-2596540
Case Number EO-2019029-000626
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IFOCUS G25 MENTORING PROGRAM
Organization’s Mailing Address 52 DONEGAL WAY
City DALLAS
State GA
ZIP 30132
Accounting period End 12
Primary contact name DR ERIC ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR ERIC ROBERTSON
CEO (CHIEF EXECUTIVE OFFICER)
52 DONEGAL WAY
DALLAS GA 30132

Officer/Director/Trustee Two

MELINDA COPPOLA
CIO (CHIEF INFORMATION OFFICER)
1507 PACES FERRY NORTH DRIVE
SMYRNA GA 30080

Officer/Director/Trustee Three

LINDA ROBERTSON
CFO (CHIEF FINANCIAL OFFICER)
52 DONEGAL WAY
DALLAS GA 30132

Officer/Director/Trustee Four

LASHAUNDRA DUDLEY
SECRETARY
2064 LAKESHORE OVERLOOK
KENNESAW GA 30152

Officer/Director/Trustee Five

ASIM NARCISSE-WILLIAMS
DIRECTOR
1011 DALBY WAY
AUSTELL GA 30106

Organization’s website
Organization’s email IFOCUSG25MENTORINGPROGRAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
Religious: Yes
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 DR ERIC ROBERTSON
Signature Title FOUNDER AND CEO
Signature Date 12/18/18

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