FORM 1023-EZ for STUDENT ATHLETES FOR EXCELLENCE INC

Field Data
EIN 47-4392761
Case Number EO-2015252-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STUDENT ATHLETES FOR EXCELLENCE INC
Organization’s Mailing Address 6005 VINTAGE POINT OVERLOOK
City MABLETON
State GA
ZIP 30126
Accounting period End 12
Primary contact name ANGELA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REVELLE WILLIAMS
CHAIRMAN
6005 VINTAGE POINT OVERLOOK
MABLETON GA 30126

Officer/Director/Trustee Two

MARQUES BURNETT
TRUSTEE
4556 WELLSPRING WAY
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Three

SHERISSA JOHNSON
SECRETARY
2589 DEERFIELD
MARIETTA GA 30064

Officer/Director/Trustee Four

ANGELA LASTER-KING
PROGRAM DEVELOPMENT DIRECTOR
12922 REGALSHIRE COURT
HOUSTON TX 77047

Officer/Director/Trustee Five

DONALD DOLLAR
TRUSTEE
3014 ORR DRIVE
EAST POINT GA 30344

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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