FORM 1023-EZ for HIS TEAS ROOM

Field Data
EIN 85-2682294
Case Number EO-2021029-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS TEAS ROOM
Organization’s Mailing Address 3019 CHRIS CIRCLE
City VILLA RICA
State GA
ZIP 30180
Accounting period End 12
Primary contact name TAMEKIA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMEKIA DAVIS
PRESIDENT
3019 CHRIS CIRCLE
VILLA RICA GA 30180

Officer/Director/Trustee Two

CANDI ALMON
BOARD MEMBER
104 MERION COURT
CARROLLTON GA 30117

Officer/Director/Trustee Three

HOLLIE PRESNAL
BOARD MEMBER
409 CREEKVIEW COURT
BREMEN GA 30110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMEKIA DAVIS
Signature Title PRESIDENT
Signature Date 12/2/2020

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