FORM 1023-EZ for TEJAVON COMMUNITY CENTER INC

Field Data
EIN 85-0553778
Case Number EO-2020195-000961
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEJAVON COMMUNITY CENTER INC
Organization’s Mailing Address 2274 SALEM RD SUITE 452
City CONYERS
State GA
ZIP 30013
Accounting period End 6
Primary contact name DAWN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN THOMAS
PRESIDENT
606 GROSSLAKE PARKWAY
COVINGTON GA 30016

Officer/Director/Trustee Two

JAMEEL WAHID II
VICE PRESIDENT
10920 COVINGTON BYPASS RD APT 419
COVINGTON GA 30014

Officer/Director/Trustee Three

GRACIE AUSTIN
CHIEF FINANCIAL OFFICER
671 DAVIS MILL RD S
DALLAS GA 30157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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 DAWN THOMAS
Signature Title PRESIDENT
Signature Date 7/10/2020

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