FORM 1023-EZ for HEATHER IVY SOCIETY

Field Data
EIN 82-3635896
Case Number EO-2018057-000489
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEATHER IVY SOCIETY
Organization’s Mailing Address 3939 LAVISTA ROAD E-310
City TUCKER
State GA
ZIP 30084
Accounting period End 12
Primary contact name ZANDRAETTA TIMS-COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZANDRAETTA TIMS-COOK
DIRECTOR
4442 BROOKES WALK
TUCKER GA 30084

Officer/Director/Trustee Two

ADRIENNE WARE
DIRECTOR
2609 HENDERSON SUMMIT
TUCKER GA 30084

Officer/Director/Trustee Three

FREDA JONES
DIRECTOR
1817 HONEYSUCKLE LANE APT 107
ATLANTA GA 30311

Officer/Director/Trustee Four

NICOLE GUSTIN
DIRECTOR
821 RALPH MCGILL BLVD APT 3421
ATLANTA GA 30306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ZANDRAETTA TIMS-COOK
Signature Title DIRECTOR
Signature Date 2/23/18

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