FORM 1023-EZ for COLLECTIBLE AND ANTIQUE CHAIR GALLERY INC

Field Data
EIN 83-0809900
Case Number EO-2020008-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLECTIBLE AND ANTIQUE CHAIR GALLERY INC
Organization’s Mailing Address 994 MAIN ST
City STONE MOUNTAIN
State GA
ZIP 30083
Accounting period End 12
Primary contact name Z I SHAHEED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA HARTSFIELD
CHAIRPERSON
2178 SATELLIT WAY
ELLENWOOD GA 30294

Officer/Director/Trustee Two

VELMA SMALL
SECRETARY
350 W 110 ST APT 4-C
NEW YORK NY 10025

Officer/Director/Trustee Three

BADIYAH AMIR
VICE CHAIRPERSON
1648 AMSTERDAM AVE FRNT-1
NEW YORK NY 10031

Officer/Director/Trustee Four

BRENDA GALES
TREASURY
2274 BRIARWOOD DR SW
CONYERS GA 30094

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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 BARBARA HARTSFIELD
Signature Title CHAIRPERSON
Signature Date 1/6/2020

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