FORM 1023-EZ for ETHEL OLIVIA JOHNSON

Field Data
EIN 82-0740041
Case Number EO-2017283-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETHEL OLIVIA JOHNSON
Organization’s Mailing Address 1912 BROOKSTONE RIDGE
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 12
Primary contact name ETHEL OLIVIA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ETHEL JOHNSON
EXECUTIVE DIRECTOR
1912 BROOKSTONE RIDGE
COLLEGE PARK GA 30349

Officer/Director/Trustee Two

CARLA WHITE
VICE PRESIDENT
6670 PEACHTREE INDUSTRIAL BLVD E
DUNWOODY GA 30360

Officer/Director/Trustee Three

MICHAEL HARRWAY
SECRETARY
860 FRANKLIN RD
MARIETTA GA 30067

Officer/Director/Trustee Four

LATONYA HOOKER-LUKE
TREASURER
7907 TAYLOR CIRCLE
RIVERDALE GA 30274

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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
Signature Title
Signature Date

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