FORM 1023-EZ for LEADNU COMMUNITY OUTREACH

Field Data
EIN 84-2236451
Case Number EO-2020008-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEADNU COMMUNITY OUTREACH
Organization’s Mailing Address 257 GLENWOOD SPRINGS RD NUM B
City EATONTON
State GA
ZIP 30124
Accounting period End 12
Primary contact name DERRICK HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMYA DAWSON
BOARD MEMBER
PO BOX 310731
ATLANTA GA 31131

Officer/Director/Trustee Two

DERRICK HILL
CONSULTANT
819 SOUTHLAND FOREST WAY
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

DR GRETCHEN TORBERT
BOARD MEMBER
573 HILLANDALE PARK DRIVE
LITHONIA GA 30058

Officer/Director/Trustee Four

KEANDRA PASCHAL
BOARD MEMBER
155 JENNIFER LANE
COVINGTON GA 30316

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 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 DERRICK HILL
Signature Title CONSULTANT
Signature Date 1/6/2020

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