FORM 1023-EZ for ESTELLE HOMELESS MISSION

Field Data
EIN 82-1686895
Case Number EO-2017166-000058
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ESTELLE HOMELESS MISSION
Organization’s Mailing Address 3967 PERRY PASS
City :LITHONIA
State GA
ZIP 30038
Accounting period End 12
Primary contact name CHARLES MURRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES MURRELL
CHAIRMAN OF THE BOARD./ C.E.O.
3967 PERRY PASSD
LITHONIA GA 30038

Officer/Director/Trustee Two

ANN MURRELL
VICE PRESIDENT OF OPERATIONS
3967 PERRY PASS
LITHONIA GA 30038

Officer/Director/Trustee Three

JANICE COLEMAN
SECRETARY
6033 PRESERVE PASS
FAIRBORN GA 30213

Officer/Director/Trustee Four

EDWARD CARROLL
VICE PRESIDENT- SOLICITATIONS
3980 ABBEY CIRCLE
ELLENWOOD GA 30294

Officer/Director/Trustee Five

NICK EDWARDS
VICE PRESIDENT- PUBLIC AFFAIRS
2066 KYBER PASS
SNELLVILLE GA 30039

Organization’s website
Organization’s email ESTELLEHOMELESSMISSION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State GA
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: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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