FORM 1023-EZ for NEW GENESIS HOMELESS INCORPORATED

Field Data
EIN 80-0819656
Case Number EO-2015341-000469
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW GENESIS HOMELESS INCORPORATED
Organization’s Mailing Address 1950 ELVIS PRESLEY BLVD
City MEMPHIS
State TN
ZIP 38106
Accounting period End 12
Primary contact name JAMES E POWERS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KUMAR PATEL
PRESIDENT
3807 PIPER BAY COVE
LAKELAND TN 38002

Officer/Director/Trustee Two

PRABHA PATEL
VICE PRESIDENT
3807 PIPER BAY COVE
LAKELAND TN 38002

Officer/Director/Trustee Three

USHA PATEL
DIRECTOR
307 PIPER BAY COVE
LAKELAND TN 38002

Organization’s website
Organization’s email KUMAR830@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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