FORM 1023-EZ for NATIONAL BLACK RADIO HALL OF FAME ATLANTA CHAPTER CO

Field Data
EIN 84-2810353
Case Number EO-2020169-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL BLACK RADIO HALL OF FAME ATLANTA CHAPTER CO
Organization’s Mailing Address PO BOX 80971
City CONYERS
State GA
ZIP 30013-9998
Accounting period End 12
Primary contact name MARSHA WASHINGTON GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA GEORGE
CEO
3383 BRANCH VALLEY TRAIL
CONYERS GA 30094

Officer/Director/Trustee Two

JULIAN DAVIS
CFO
PO BOX 492047
LAWRENCEVILLE GA 30049

Officer/Director/Trustee Three

ASHONTI DIXON
SECRETARY
1227 ALLEN CIRCLE APT A
CONYERS GA 30012

Organization’s website WWW.NBRHOF.COM/ATLANTA-CHAPTER
Organization’s email RADIOPROFILES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 MARSHA GEORGE
Signature Title CEO
Signature Date 6/15/2020

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