FORM 1023-EZ for LADY T HOMELESS MINISTRY INC

Field Data
EIN 82-1030263
Case Number EO-2017128-000399
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY T HOMELESS MINISTRY INC
Organization’s Mailing Address 3572 BRAMBLEVINE CIRCLE
City LITHONIA
State GA
ZIP 30038-2912
Accounting period End 12
Primary contact name DEMETRA MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA HAMILTON
PRESIDENT
3572 BRAMBLEVINE CIRCLE
LITHONIA GA 30038-2912

Officer/Director/Trustee Two

MICHAEL QUIGLEY
TREASURER
4249 BEVERLY LANE NE
ATLANTA GA 30342-3441

Officer/Director/Trustee Three

DEBORAH WHITE
SECRETARY
3138 BOHANNON ST NW
COVINGTON GA 30014-2226

Officer/Director/Trustee Four

MARLON SAMUEL SMITH
DIRECTOR
739 STRATFORD GREEN
AVONDALE ESTATES GA 30002-1363

Officer/Director/Trustee Five

CHRIS ARMISTEAD
DIRECTOR
3535 HAMLIN CIRCLE
CHAMBLEE GA 30341-2001

Organization’s website WWW.LADYTHOMELESS.COM
Organization’s email TERESAHAMILTON06@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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
Signature Title
Signature Date

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