FORM 1023-EZ for AMIA INC

Field Data
EIN 86-2655522
Case Number EO-2021098-000007
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMIA INC
Organization’s Mailing Address 1513 JAMES LANDING
City CHESAPEAKE
State VA
ZIP 23321
Accounting period End 1
Primary contact name LATREVA MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATREVA MITCHELL
PRESIDENT
1513 JAMES LANDING
CHESAPEAKE VA 23321-1875

Officer/Director/Trustee Two

VESHA JONES
TREASURER
127 HIGHFIELD ROAD
SUFFOLK VA 23434-9316

Officer/Director/Trustee Three

LATISHA MITCHELL
SECRETARY
102 SHEPARD STREET
SUFFOLK VA 23434-4065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 LATREVA MITCHELL
Signature Title PRESIDENT
Signature Date 3/17/2021

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