FORM 1023-EZ for COMMUNITY ACTION NEIGHBORHOOD DEVELOPMENT ORGANIZATION INC

Field Data
EIN 86-3858346
Case Number EO-2021175-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY ACTION NEIGHBORHOOD DEVELOPMENT ORGANIZATION INC
Organization’s Mailing Address 636 EXCHANGE PLACE NW STE A205
City LILBURN
State GA
ZIP 30047-6865
Accounting period End 12
Primary contact name JAMES COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES COLLINS
PRESIDENT
636 EXCHANGE PLACE NW STE A205
LILBURN GA 30047-6865

Officer/Director/Trustee Two

JUDE ANDALL
DIRECTOR
1290 LAKE WASHINGTON CIR
LAWRENCEVILLE GA 30043-6663

Officer/Director/Trustee Three

MARVIA LYKE
DIRECTOR
2295 COMPTON PL
SUWANEE GA 30024-3183

Officer/Director/Trustee Four

DONTE HARMON
DIRECTOR
2704 DULUTH HWY SUITE D
DULUTH GA 30096-4005

Officer/Director/Trustee Five

CHARLES CLARY
DIRECTOR
3631 BITTERCREEK WAY
LILBURN GA 30047-2101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 JAMES COLLINS
Signature Title PRESIDENT
Signature Date 6/22/2021

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