FORM 1023-EZ for FLY ON A WALL INC

Field Data
EIN 81-1255551
Case Number EO-2016047-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLY ON A WALL INC
Organization’s Mailing Address 1342 LUCILE AVENUE SW
City ATLANTA
State GA
ZIP 30310-1678
Accounting period End 12
Primary contact name NATHAN GRISWOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE JOHNSON
PRESIDENT
1342 LUCILE AVENUE SW
ATLANTA GA 30310-1678

Officer/Director/Trustee Two

NATHAN GRISWOLD
TREASURER
317 8TH STREET NE UNIT 3
ATLANTA GA 30309-4254

Officer/Director/Trustee Three

KELLY TIPTON
CHAIRMAN OF THE BOARD
317 8TH STREET NE UNIT 3
ATLANTA GA 30309-4254

Officer/Director/Trustee Four

SEAN HILTON
SECRETARY
1995 BRAEBURN CIRCLE SE
ATLANTA GA 30316-2219

Officer/Director/Trustee Five

NAOMI CLARK
BOARD OF DIRECTORS
1413 RIVER VISTA DR
ATLANTA GA 30339-2991

Organization’s website WWW.FLYONAWALL.BUZZ
Organization’s email FLYONAWALLCOLLECTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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