FORM 1023-EZ for FEED MY SHEEP IMPACTERS INC

Field Data
EIN 87-2641392
Case Number EO-2021263-000810
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FEED MY SHEEP IMPACTERS INC
Organization’s Mailing Address 100 W 2ND AVE SUITE 108
City ROME
State GA
ZIP 30161
Accounting period End 12
Primary contact name KHEISHA HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WARTANNA HAYWOOD
PRESIDENT
100 W 2ND AVE SUITE 108
ROME GA 30161

Officer/Director/Trustee Two

SOLITA BURLEY
VICE PRESIDENT
525 W 13TH ST APT 711
ROME GA 30165

Officer/Director/Trustee Three

EMMA BRAZIEL
SECRETARY
75 GILREATH RD APT 70
CARTERSVILLE GA 30121

Officer/Director/Trustee Four

LESLIE COLLINS
TREASURER
22 TAMASSEE LN APT E10
ROME GA 30165

Officer/Director/Trustee Five

KHEISHA HARRISON
ADVISOR
13 CLEAR PASS
ADAIRSVILLE GA 30103

Organization’s website WWW.FEEDMYSHEEPIMPACTERS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2021
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: Yes
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 Yes
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 WARTANNA HAYWOOD
Signature Title PRESIDENT
Signature Date 9/19/2021

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