FORM 1023-EZ for HOPE AND HEALING FOUNDATION OF FULTON COUNTY INC

Field Data
EIN 84-3489746
Case Number EO-2019340-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE AND HEALING FOUNDATION OF FULTON COUNTY INC
Organization’s Mailing Address 309 SYCAMORE STREET
City DECATUR
State GA
ZIP 30030-3436
Accounting period End 12
Primary contact name R LAWTON JORDAN III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS RIEDER
TREASURER
2500 CUMBERLAND PKWY SUITE 400
ATLANTA GA 30339

Officer/Director/Trustee Two

EMILY YU
CHAIR
5605 GLENRIDGE DRIVE
ATLATNA GA 30324

Officer/Director/Trustee Three

ALEXIA JONES
SECRETARY
675 METROPOLITAN PKWY SW SUITE 5036
ATLANTA GA 30310

Officer/Director/Trustee Four

PHENIX GASTON
CHAIR-ELECT
PO BOX 366187
ATLANTA GA 30336

Officer/Director/Trustee Five

CAMERON TYER
DIRECTOR
687 MONTANTA ROAD NW
ATLANTA GA 30327

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I19 - Nonmonetary Support N.E.C.
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 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 DOUGLAS RIEDER
Signature Title TREASURER
Signature Date 12/4/2019

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