FORM 1023-EZ for HIGHLANDS INTERNATIONAL MINISTRIESINC

Field Data
EIN 83-0738563
Case Number EO-2018239-000716
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGHLANDS INTERNATIONAL MINISTRIESINC
Organization’s Mailing Address 30 HABERSHAM WAY
City ATLANTA
State GA
ZIP 30305-2828
Accounting period End 12
Primary contact name SUSAN CLAMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH CLAMON
PRESIDENT
30 HABERSHAM WAY
ATLANTA GA 30305-2828

Officer/Director/Trustee Two

SUSAN CLAMON
SECRETARY/TREASURER
30 HABERSHAM WAY
ATLANTA GA 30305-2828

Officer/Director/Trustee Three

CRAIG J STONE
DIRECTOR
3600 CLOUDLAND DR NW
ATLANTA GA 30327-2908

Officer/Director/Trustee Four

G DONALD JOHNSON
DIRECTOR
1364 WYNNBROOK TRACE
MABLETON GA 30126-7608

Officer/Director/Trustee Five

KENNETH D BOA
DIRECTOR
3287 WINDSOR LAKE DR
ATLANTA GA 30319-2375

Organization’s website HIGHLANDS.INTERNATIONAL
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 No
Correctness Declaration Yes
Signature Name JOSEPH CLAMON
Signature Title PRESIDENT
Signature Date 8/24/18
EIN 83-0738563
Case Number EO-2018239-000716
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGHLANDS INTERNATIONAL MINISTRIES INC
Organization’s Mailing Address 30 HABERSHAM WAY
City ATLANTA
State GA
ZIP 30305-2828
Accounting period End 12
Primary contact name SUSAN CLAMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH CLAMON
PRESIDENT
30 HABERSHAM WAY
ATLANTA GA 30305-2828

Officer/Director/Trustee Two

SUSAN CLAMON
SECRETARY/TREASURER
30 HABERSHAM WAY
ATLANTA GA 30305-2828

Officer/Director/Trustee Three

CRAIG J STONE
DIRECTOR
3600 CLOUDLAND DR NW
ATLANTA GA 30327-2908

Officer/Director/Trustee Four

G DONALD JOHNSON
DIRECTOR
1364 WYNNBROOK TRACE
MABLETON GA 30126-7608

Officer/Director/Trustee Five

KENNETH D BOA
DIRECTOR
3287 WINDSOR LAKE DR
ATLANTA GA 30319-2375

Organization’s website HIGHLANDS.INTERNATIONAL
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 No
Correctness Declaration Yes
Signature Name JOSEPH CLAMON
Signature Title PRESIDENT
Signature Date 8/24/18

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