FORM 1023-EZ for SHAWNEY WILLIS

Field Data
EIN 85-4079596
Case Number EO-2021104-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAWNEY WILLIS
Organization’s Mailing Address 156 BETHESDA CHURCH RD APT 610
City LAWRENCEVILLE
State GA
ZIP 30044
Accounting period End 12
Primary contact name SHAWNEY WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NYA-JADE WILLIS
TRUSTEE
156 BETHESDA CHURCH RD APT 610
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Two

DAQUON POWELL
TRUSTEE
156 BETHESDA CHURCH RD APT 610
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Three

SHAWNEY WILLIS
OFFICER
156 BETHESDA CHURCH RD APT 610
LAWRENCEVILLE GA 30044

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAWNEY WILLIS
Signature Title OFFICER
Signature Date 4/7/2021

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