FORM 1023-EZ for FIRST INTEGRATED COMMUNITY & CARE SERVICES

Field Data
EIN 83-4015235
Case Number EO-2020118-000008
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST INTEGRATED COMMUNITY & CARE SERVICES
Organization’s Mailing Address 2620 DAVENPORT PARK DRIVE
City DULUTH
State GA
ZIP 30096
Accounting period End 12
Primary contact name NAHOMIE JULIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAHOMIE JULIEN
CEO
2620 DAVENPORT PARK DRIVE
DULUTH GA 30096

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 NAHOMIE JULIEN
Signature Title CEO
Signature Date 4/23/2020

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