FORM 1023-EZ for DOLLFACE ACADEMY CORPORATION

Field Data
EIN 83-2403090
Case Number EO-2018317-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOLLFACE ACADEMY CORPORATION
Organization’s Mailing Address 5370 US - 78 SUITE 25
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name DERRICK HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK HILL
CONSULTANT
819 SOUTHLAND FOREST WAY
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

ERICA DIAS
TREASURER
1372 PEACHTREE STREET
ATLANTA GA 30309

Officer/Director/Trustee Three

JLEESA HOUGH
SECRETARY
1281 BROCKETT RD UNIT 14-M
TUCKER GA 30021

Officer/Director/Trustee Four

ERIC WILLIAMS
BOARD MEMBER
2655 BELVEDERE DR APT A1
JACKSON MS 39212

Officer/Director/Trustee Five

ROBERT WILLIAMS
CHAIR
2379 BROOK PARK TRAIL
SNELLVILLE GA 30078

Organization’s website N/A
Organization’s email DHILL@HILLCHASE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DERRICK HILL
Signature Title CONSULTANT
Signature Date 11/8/18

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