FORM 1023-EZ for HIS SOUL SANCTUARY INC
| Field | Data |
|---|---|
| EIN | 85-0968331 |
| Case Number | EO-2020300-000450 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HIS SOUL SANCTUARY INC |
| Organization’s Mailing Address | 3900 CROWN RD SW 16709 SMB 9543 |
| City | ATLANTA |
| State | GA |
| ZIP | 30304 |
| Accounting period End | 12 |
| Primary contact name | JACQUELINE MERRILL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACQUELINE MERRILL
CHIEF EXECUTIVE OFFICER - DIRECTOR
2990 SUMMIT RIDGE
SNELLVILLE GA 30078
Officer/Director/Trustee Two
JACQUELINE GRADY
CHIEF FINANCIAL OFFICER
103 FAIRFAX DRIVE
PENSACOLA FL 32503
Officer/Director/Trustee Three
MYESHA MARVIN
CHAIRPERSON OF GOVERNING BODY
11439 GRESHAM PLACE
CINCINNATI OH 45340
Officer/Director/Trustee Four
IESHA LEWIS
DIRECTOR
3602 HUDDLESTONE LANE
BUFORD GA 30519
Officer/Director/Trustee Five
KATE ARLT
DIRECTOR
1199 GRASSY OAT LANE
LAWRENCEVILLE GA 30045
| Organization’s website | |
|---|---|
| Organization’s email | info@hissoulsanctuary.org |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Z99 - Unclassified |
| 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 | JACQUELINE MERRILL |
| Signature Title | CHIEF EXECUTIVE OFFICER - DIRECTOR |
| Signature Date | 10/22/2020 |
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