FORM 1023-EZ for EXCLUSIVELY WIVES OF GEORGIA INC

Field Data
EIN 84-5155486
Case Number EO-2020083-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCLUSIVELY WIVES OF GEORGIA INC
Organization’s Mailing Address 2476 HIGHLAND GOLF COURSE DRIVE
City CONYERS
State GA
ZIP 30013
Accounting period End 12
Primary contact name SHERITA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERITA ADAMS
EXECUTIVE DIRECTOR
2476 HIGHLAND GOLF COURSE DRIVE
CONYERS GA 30013

Officer/Director/Trustee Two

JESDRENIA GEORGE
BOARD CHAIRPERSON
5215 WALKER ROAD
STINE MOUNTAIN GA 30088

Officer/Director/Trustee Three

DOUGLISSA BRAXTON
TREASURER
2130 FAIRVIEW ROAD
STOCKBRIDGE GA 30281

Officer/Director/Trustee Four

ROBERT ADAMS
BOARD CHAIR
2476 HIGHLAND GOLF COURSE DRIVE
CONYERS GA 30013

Organization’s website
Organization’s email EXCLUSIVELYWIVESGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
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: 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 SHERITA ADAMS
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/19/2020

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