FORM 1023-EZ for TEA LEAVES CORPORATION

Field Data
EIN 82-3558946
Case Number EO-2018064-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEA LEAVES CORPORATION
Organization’s Mailing Address 2001 DUNCAN DRIVE 176
City KENNESAW
State GA
ZIP 30156
Accounting period End 12
Primary contact name CASSANDRA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA BROWN
PRESIDENT
5037 OAK HOLLOW DRIVE NORTHWEST
ACWORTH GA 30102

Officer/Director/Trustee Two

VALORIA SMITH
TREASURER
3369 BRISTLECONE DRIVE
MOBILE AL 36693

Officer/Director/Trustee Three

HATTIE SLATON
SECRETARY
3678 STANFORD CIRCLE
DECATUR GA 30034

Organization’s website
Organization’s email LIVELOVED@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 CASSANDRA BROWN
Signature Title PRESIDENT
Signature Date 3/2/18

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