FORM 1023-EZ for TEAM MOM INC

Field Data
EIN 86-3427684
Case Number EO-2021118-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM MOM INC
Organization’s Mailing Address 3705 RAMSEY CIRCLE SW
City ATLANTA
State GA
ZIP 30331
Accounting period End 12
Primary contact name JASMINE DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE DOUGLAS
BOARD MEMBER
3705 RAMSEY CIRCLE SW
ATLANTA GA 30331

Officer/Director/Trustee Two

IRIA ABRAM
BOARD MEMBER
55 RIVERCREST DRIVE
RIVERDALE GA 30274

Officer/Director/Trustee Three

CRYSTAL JANUARY
BOARD MEMBER
5168 LAKECOVE COURT
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

BIANCA PHILLIPS
BOARD MEMBER
1458 INDIAN FOREST COURT
STONE MOUNTAIN GA 30083

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2021
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: 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 JASMINE DOUGLAS
Signature Title BOARD MEMBER
Signature Date 4/27/2021

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