FORM 1023-EZ for PITTSBURGH NEIGHBORHOOD RESIDENT LEADERSHIP TEAM

Field Data
EIN 81-1070026
Case Number EO-2016162-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PITTSBURGH NEIGHBORHOOD RESIDENT LEADERSHIP TEAM
Organization’s Mailing Address 3692 TROUT LILY COURT
City ATLANTA
State GA
ZIP 30349-1889
Accounting period End 6
Primary contact name RICHARD KELSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD KELSEY
CHAIRPERSON
3692 TROUT LILY COURT
ATLANTA GA 30349-1889

Officer/Director/Trustee Two

WILLIAM KING
SECRETARY
1074 WELCH ST SW
ATLANTA GA 30310-3144

Officer/Director/Trustee Three

QUEEN LAROSA HARDIN GREEN
TREASURER
1174 MCDANIEL ST SW
ATLANTA GA 30310-3654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2016
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: 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 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
Signature Title
Signature Date

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