FORM 1023-EZ for DIVINE RECOVERY77 INC

Field Data
EIN 87-2333719
Case Number EO-2021270-000535
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE RECOVERY77 INC
Organization’s Mailing Address 4714 HEATH TERRACE
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 1
Primary contact name BENTON WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENTON WILLIS
PRESIDENT & DIRECTOR
4714 HEATH TERRACE
COLLEGE PARK GA 30349

Officer/Director/Trustee Two

BENDREA WILLIS
TREASURER
7374 GOSSAMER ST
UNION CITY GA 30291

Officer/Director/Trustee Three

GILBALTOR TAYLOR
SECRETARY
4714 HEATH TERRACE
COLLEGE PARK GA 30349

Officer/Director/Trustee Four

CALEB WILLIS
DIRECTOR&VICE PRESIDENT
5210 MINEHAHA AVE SOUTH
MINNEAPOLIS MN 55417

Officer/Director/Trustee Five

BRADLEY HUTCHINS
DIRECTOR
4714 HEATH TERRACE
COLLEGE PARK GA 30349

Organization’s website
Organization’s email DIVINERECOVERY77@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 BENTON WILLIS
Signature Title PRESIDENT & DIRECTOR
Signature Date 9/24/2021

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