FORM 1023-EZ for LAVENDER BLESSINGS INC

Field Data
EIN 86-3354025
Case Number EO-2021132-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAVENDER BLESSINGS INC
Organization’s Mailing Address 7371 KESTLER AVE
City DAMASCUS
State GA
ZIP 39841
Accounting period End 12
Primary contact name DEBBI BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBI BUTLER
PRESIDENT
7371 KESTLER AVE
DAMASCUS GA 39841

Officer/Director/Trustee Two

TAMEKA TAYLOR BUGGS
TREASURER
7371 KESTLER AVE
DAMASCUS GA 39841

Officer/Director/Trustee Three

SHENKIA JOHNSON
SECRETARY
7371 KESTLER AVE
DAMASCUS GA 39841

Officer/Director/Trustee Four

SONGA CLARK
DIRECTOR
7371 KESTLER AVE
DAMASCUS GA 39841

Officer/Director/Trustee Five

GLORIA PRICE
DIRECTOR
7371 KESTLER AVE
DAMASCUS GA 39841

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 DEBBI BUTLER
Signature Title PRESIDENT
Signature Date 5/10/2021

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