FORM 1023-EZ for DOMESTIC VIOLENCE ADVOCACY SERVICEINC

Field Data
EIN 46-5376077
Case Number EO-2016124-000182
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOMESTIC VIOLENCE ADVOCACY SERVICEINC
Organization’s Mailing Address P O BOX 742641
City RIVERDALE
State GA
ZIP 30274
Accounting period End 12
Primary contact name CASSANDRA C JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CASSANDRA C JOHNSON
OFFICER
8374 GLENWOODS TERRACE
RIVERDALE GA 30274

Officer/Director/Trustee Two

LOYCE CHEATSON
OFFICER
7526 MOUNTAIN LAUREL WAY
STOCKBRIDGE GA 30281

Officer/Director/Trustee Three

LATAUCHA MORELAND
OFFICER
303 SENOIA RD
FAIRBURN GA 30213

Organization’s website DVASERVICE2014.WIX.COM/DVAS
Organization’s email DVASERVICE.2014@GMAIL.COM
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 P62 - Victims' Services
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 Yes
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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