FORM 1023-EZ for CHILD LOSS CENTER INC

Field Data
EIN 85-0580110
Case Number EO-2020196-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHILD LOSS CENTER INC
Organization’s Mailing Address 3545 BROAD STREET NO 80742
City ATLANTA
State GA
ZIP 30366-2116
Accounting period End 12
Primary contact name YOLANDA FOUNTAIN HARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOLANDA FOUNTAIN HARDY
PRESIDENT
3545 BROAD STREET NO 80742
ATLANTA GA 30366-2116

Officer/Director/Trustee Two

BRENNA WEAVER
SECRETARY
3545 BROAD STREET NO 80742
ATLANTA GA 30366-2116

Officer/Director/Trustee Three

PATRICE FOUNTAIN
TREASURER
3545 BROAD STREET NO 80742
ATLANTA GA 30366-2216

Officer/Director/Trustee Four

KIMBERLY MOSSMAN
BOARD MEMBER
3545 BROAD STREET NO 80742
ATLANTA GA 30366-2166

Officer/Director/Trustee Five

ANITA MARTIN
BOARD MEMBER
3545 BROAD STREET NO 80742
ATLANTA GA 30366-2116

Organization’s website NONE
Organization’s email CHILDLOSSCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 YOLANDA FOUNTAIN HARDY
Signature Title PRESIDENT
Signature Date 6/12/2020

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