FORM 1023-EZ for NY LEYAH KARES

Field Data
EIN 84-2472390
Case Number EO-2020254-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NY LEYAH KARES
Organization’s Mailing Address 1860 FLATSHOALS RD
City CONYERS
State GA
ZIP 30013
Accounting period End 5
Primary contact name MARY L BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY L BROOKS
CEO
1860 FLAT SHOALS RD
CONYERS GA 30013

Officer/Director/Trustee Two

CARNE MAHONE
BOARD MEMBER
4002 HWY 78 SUITE 530 PMB 232
SNELLVILLE GA 30039

Officer/Director/Trustee Three

VENICE MCCLAIN
SECRETARY
3724 SALEM SPRINGS CT
LITHONIA GA 30058

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 MARY L BROOKS
Signature Title CEO
Signature Date 9/8/2020

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