FORM 1023-EZ for WELFEN INC

Field Data
EIN 84-2881773
Case Number EO-2019247-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELFEN INC
Organization’s Mailing Address 950 EAGLES LANDING PKWY SUITE 578
City STOCKBRIDGE
State GA
ZIP 30281-7343
Accounting period End 12
Primary contact name RASHID SHABAZZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARENZE COE
SECRETARY
803 NEW ENGLAND COURT
ALLEN TX 75002-2015

Officer/Director/Trustee Two

RASHID SHABAZZ
DIRECTOR-CEO
809 WINBROOK DRIVE
MCDONOUGH GA 30253-8038

Officer/Director/Trustee Three

YA-SIN SHABAZZ
CFO
340 MENGE AVENUE
PASS CHRISTIAN MS 39571-4212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RASHID SHABAZZ
Signature Title DIRECTOR-CEO
Signature Date 9/2/19

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