FORM 1023-EZ for 5STAR SCHOLARS

Field Data
EIN 83-2043851
Case Number EO-2019060-000491
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5STAR SCHOLARS
Organization’s Mailing Address 195 PROVIDENCE PARKWAY
City COVINGTON
State GA
ZIP 30014
Accounting period End 12
Primary contact name JENNIFER JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER JOHNSON
DIRECTOR/TEACHER
195 PROVIDENCE PARKWAY
COVINGTON GA 30014

Officer/Director/Trustee Two

ROMARIO JOHNSON
ASSISTANT DIRECTOR
195 PROVIDENCE PARKWAY
COVINGTON GA 30014

Officer/Director/Trustee Three

ROMARIO JOHNSON JR
SCOUT COORDINATOR
195 PROVIDENCE PARKWAY
COVINGTON GA 30014

Officer/Director/Trustee Four

IMARI JOHNSON
COMMUNITY LEADER
195 PROVIDENCE PARKWAY
COVINGTON GA 30014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER JOHNSON
Signature Title DIRECTOR/TEACHER
Signature Date 2/27/19

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