FORM 1023-EZ for CARIBBEAN DIASPORA FOR SCIENCE TECHNOLOGY INNOVATION SE CHAPTER INC

Field Data
EIN 47-1198581
Case Number EO-2014275-000571
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARIBBEAN DIASPORA FOR SCIENCE TECHNOLOGY INNOVATION SE CHAPTER INC
Organization’s Mailing Address PO BOX 77007
City ATLANTA
State GA
ZIP 30357
Accounting period End 12
Primary contact name BERNADINE H LAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EARL LONG
PRESIDENT
5100 ROCKY GLEN
STONE MOUNTAINE GA 30088

Officer/Director/Trustee Two

DENIS ISHMAEL
VICE PRESIDENT
1122 SCHOOL SIDE DR
LITHONIA GA 30058

Officer/Director/Trustee Three

DENISE QUINLAN
SECRETARY
3313 MOYE COURT
DULUTH GA 30097

Officer/Director/Trustee Four

ELAINE BRYAN
TREASURER
20 CHASTAIN COVE
SANDY SPRINGS GA 30342

Officer/Director/Trustee Five

BERNADINE LAYNE
DIRECTOR
3920 GLENHURST DR
SMYRNA GA 30080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
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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