FORM 1023-EZ for C-QUL

Field Data
EIN 82-4217785
Case Number EO-2019119-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name C-QUL
Organization’s Mailing Address 411 HOLT AVENUE
City MACON
State GA
ZIP 31204
Accounting period End 12
Primary contact name ANDREA COOKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA COOKE
DIRECTOR
411 HOLT AVENUE
MACON GA 31204

Officer/Director/Trustee Two

NATIKA BROOKS
OFFICER
18124 RIVER LANDING DRIVE
PRAIRIEVILLE LA 70769

Officer/Director/Trustee Three

GLORIA CISSE
OFFFICER
411 HOLT AVENUE
MACON GA 31204

Officer/Director/Trustee Four

MARTIKA THOMAS
OFFICER
2093 EAST NAPIER AVE
MACON GA 31204

Officer/Director/Trustee Five

ANDREAS COOKE
OFFICER
2093 EAST NAPIER AVE
MACON GA 31204

Organization’s website
Organization’s email ACOOKE@THESOUTHERNCENTERFORCHOICETHEORY.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Correctness Declaration Yes
Signature Name ANDREA COOKE
Signature Title DIRECTOR
Signature Date 4/26/19

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