FORM 1023-EZ for TRADEMARK OF EXCEPTIONAL LIVING INC

Field Data
EIN 81-3778640
Case Number EO-2016256-000478
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRADEMARK OF EXCEPTIONAL LIVING INC
Organization’s Mailing Address 101 WYOMING STREET
City ADEL
State GA
ZIP 31620
Accounting period End 12
Primary contact name MEDINA KING HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HARRIS
PRESIDENT
101 WYOMING STREET
ADEL GA 31620

Officer/Director/Trustee Two

JASON KING
VICE PRESIDENT
1100 GORDON AVE APT B
ADEL GA 31620

Officer/Director/Trustee Three

TERESA REAVES
SECRETARY
2487 MELROSE DR
VALDOSTA GA 31602

Officer/Director/Trustee Four

BERNICE SHEPPARD
TREASURER
404 BROAD STREET
VALDOSTA GA 31601

Officer/Director/Trustee Five

MEDINA KING HARRIS
DIRECTOR
101 WYOMING STREET
ADEL GA 31620

Organization’s website
Organization’s email EXPTRADEMARK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
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 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
Signature Title
Signature Date

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