FORM 1023-EZ for ATLANTA-NORTH GEORGIA CONFERENCE AME CDC

Field Data
EIN 85-2637366
Case Number EO-2020238-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLANTA-NORTH GEORGIA CONFERENCE AME CDC
Organization’s Mailing Address 3735 MEMORIAL DRIVE SUITE 100
City DECATUR
State GA
ZIP 30032
Accounting period End 12
Primary contact name ODANIEL OUTLAW CPA POA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD T JACKSON
CHAIRMAN OF BOARD
250 WILLIAMS ST STE 2115
ATLANTA GA 30303

Officer/Director/Trustee Two

THOMAS BESS
CO CHAIRMAN OF BOARD
5045 GREENTREE TRAIL
COLLEGE PARK GA 30349

Officer/Director/Trustee Three

VANDY SIMMONS
SECRETARY
765 S HAIRSTON ROAD
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Four

SUSAN GREEN
TREASURER
1625 JOSEPH E BOONE BLVD NW
ATLANTA GA 30314

Organization’s website NONE
Organization’s email DOUTLAW@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 REGINALD T JACKSON
Signature Title CHAIRMAN OF BOARD
Signature Date 8/21/2020

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