FORM 1023-EZ for MARIETTA HOMELESS AUTHORITY

Field Data
EIN 45-3789919
Case Number EO-2020217-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARIETTA HOMELESS AUTHORITY
Organization’s Mailing Address 1712 OAK STREET
City MARIETTA
State GA
ZIP 30060
Accounting period End 12
Primary contact name KATHY BRADHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY BRADHAM
CEO
3490 TALLIMORE KNOLL
MARIETTA GA 30066

Officer/Director/Trustee Two

KAREENE KAKOU
SEC
3490 TALIMORE KNOLL
MARIETTA GA 30066

Officer/Director/Trustee Three

VERONICA BRADHAM
CFO
3490 TALIMORE KNOLL
MARIETTA GA 30066

Officer/Director/Trustee Four

SHADE MASHA
BOARD MEMER
3557 DORRIS CIRCLE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Five

CHRISTOPHER GOSS
BOARD MEMBER
P O BOX 11490
ATLANTA GA 30310

Organization’s website WWW.MARIETTAHOMELESSAUTHORITY.COM
Organization’s email IINFO@MARIETTAHOMELESSAUTHORITY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2011
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHY BRADHAM
Signature Title CEO
Signature Date 7/31/2020

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