FORM 1023-EZ for OUR MELANIN INC

Field Data
EIN 82-3888734
Case Number EO-2018064-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR MELANIN INC
Organization’s Mailing Address 2036 SECOND AVE
City DECATUR
State GA
ZIP 30032
Accounting period End 12
Primary contact name KA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KHADIJAH AUSTIN
PRESIDENT
2036 2ND AVE
DECATUR GA 30032

Officer/Director/Trustee Two

GENORI MCCORMACK
TREASURER
2036 2ND AVE
DECATUR GA 30032

Officer/Director/Trustee Three

JORDAN OCONNER
SECRETARY
1850 GRAVES ROAD APT 1024
NORCROSS GA 30093

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 KHADIJAH AUSTIN
Signature Title PRESIDENT
Signature Date 3/2/18

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