FORM 1023-EZ for ANGELS OF EPILEPSY INC

Field Data
EIN 36-4631128
Case Number EO-2017215-000034
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGELS OF EPILEPSY INC
Organization’s Mailing Address 308 CALIBRE LAKE PKWY SE
City SMYRNA
State GA
ZIP 30082
Accounting period End 12
Primary contact name NATALIE BEAVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE BEAVERS
PRESIDENT, DIRECTOR
308 CALIBRE LAKE PKWY SE
SMYRNA GA 30082

Officer/Director/Trustee Two

JORDAN SIMMONS
VICE PRESIDENT, SECRETARY, DIRECTOR
308 CALIBRE LAKE PKWY SE
SMYRNA GA 30082

Officer/Director/Trustee Three

SHERON ROBINSON
TREASURER, DIRECTOR
308 CALIBRE LAKE PKWY SE
SMYRNA GA 30082

Organization’s website WWW.AOEPILEPSY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2008
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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