FORM 1023-EZ for MOLLYS HOUSE INC

Field Data
EIN 47-4967144
Case Number EO-2015264-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOLLYS HOUSE INC
Organization’s Mailing Address 4500 WEST VILLAGE PL 1201
City SMYRNA
State GA
ZIP 30080-9247
Accounting period End 12
Primary contact name JENNIFER HUDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER HUDSON
CEO/PRESIDENT
4500 WEST VILLAGE PLACE 1201
SMYRNA GA 30080-9247

Officer/Director/Trustee Two

MICHELE TOLIVER
VICE PRESIDENT
646 WHITEHALL ST
DAYTONA BEACH FL 32114-2238

Officer/Director/Trustee Three

LEWIS SEALES
TREASURER
6642 RUE CHATEAU ST N
BENBROOK TX 76132-2729

Officer/Director/Trustee Four

IDA HARRIS
SECRETARY
PO BOX 5025
ALPHARETTA GA 30023-5025

Organization’s website
Organization’s email IKNOWMYWORTH08@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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
Signature Title
Signature Date

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