FORM 1023-EZ for STONE MOUNTAIN COMMUNITY CENTER INCORPORATION

Field Data
EIN 47-2034310
Case Number EO-2015075-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STONE MOUNTAIN COMMUNITY CENTER INCORPORATION
Organization’s Mailing Address 5370 STONE MOUNTAIN HWY STE 630
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name LAMONT EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS HALES
PRESIDENT
5370 STONE MOUNTAIN HWY STE 630
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

DEBRA ADAMS
VICE PRESIDENT
5370 STONE MOUNTAIN HWY STE 630
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

ANTOINETTE HALES
SECRETARY
5370 STONE MOUNTAIN HWY STE 630
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Four

EARNEST ADAMS
BOARD MEMBER AT LARGE
5370 STONE MOUNTAIN HWY STE 630
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Five

CHARMAINE FOSTER
TREASURER
5370 STONE MOUNTAIN HWY STE 630
STONE MOUNTAIN GA 30087

Organization’s website
Organization’s email INFO@MOJASERVICES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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
Signature Title
Signature Date

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