FORM 1023-EZ for EMBEM OF LOVE

Field Data
EIN 84-2504277
Case Number EO-2019207-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMBEM OF LOVE
Organization’s Mailing Address 1881 MARKONE ST NW
City ATLANTA
State GA
ZIP 30318
Accounting period End 12
Primary contact name ADJO COOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADJO COOPER
CEO
1881 MARKONE ST NW
ATLANTA GA 30318

Officer/Director/Trustee Two

MICHAELA WILLIAMS
CFO
1576 ORLANDO ST SW
ATLANTA GA 30311

Officer/Director/Trustee Three

SAMUEL TUFFOUR POKU
SECRETARY
823 VILLA VIEW WAY
HAMPTON GA 30228

Organization’s website
Organization’s email ASSOCIATIONEMBLEMEDAMOUR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 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 ADJO COOPER
Signature Title CEO
Signature Date 7/24/19

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