FORM 1023-EZ for BLESSED FOR SUCCESS

Field Data
EIN 84-2590494
Case Number EO-2020217-000019
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSED FOR SUCCESS
Organization’s Mailing Address 1718 PEACHTREE STREET NW SUITE 660
City ATLANTA
State GA
ZIP 30309
Accounting period End 12
Primary contact name LAURA M SHAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA SHAMP
SECRETARY
1718 PEACHTREE ST NW SUITE 660
ATLANTA GA 30309

Officer/Director/Trustee Two

KIMBERLY COLE
CEO
3433 PIERCE STREET
COLLEGE PARK GA 30337

Officer/Director/Trustee Three

CATHLEEN LEFAR
CFO
25 BALL MILL PLACE
ATLANTA GA 30350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support 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 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 LAURA SHAMP
Signature Title SECRETARY
Signature Date 7/30/2020

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