FORM 1023-EZ for ATLANTA CIRCUS ALLIANCE INC

Field Data
EIN 87-0998858
Case Number EO-2021187-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLANTA CIRCUS ALLIANCE INC
Organization’s Mailing Address 1231 DRUID PLACE NE
City ATLANTA
State GA
ZIP 30307
Accounting period End 12
Primary contact name DR L NYROBI MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH CHMIELEWSKI
BOARD CHAIR
1231 DRUID PLACE NE
ATLANTA GA 30307

Officer/Director/Trustee Two

ROSE SHIELDS
VICE CHAIR
1624 PERRY BLVD
ATLANTA GA 30318

Officer/Director/Trustee Three

ERIN ANDRADE
SECRETARY
2273 CHEROKEE VALLEY CIRCLE
LITHONIA GA 30078

Organization’s website WWW.ATLANTACIRCUSALLIANCE.COM
Organization’s email ATLANTACIRCUSALLIANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH CHMIELEWSKI
Signature Title BOARD CHAIR
Signature Date 7/3/2021

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