FORM 1023-EZ for QED MOTIVATIONAL

Field Data
EIN 47-4138455
Case Number EO-2015154-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QED MOTIVATIONAL
Organization’s Mailing Address 219 HIGH MEADOW TRAIL
City CLEVELAND
State GA
ZIP 30528-2322
Accounting period End 12
Primary contact name VIRGINIA QUINN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIRGINIA QUINN
PRESIDENT/CHAIRMAN
219 HIGH MEADOW TRAIL
CLEVELAND GA 30528-2322

Officer/Director/Trustee Two

KATHERINE PORFILIO
SECRETARY
81 E POINT DRIVE
DAHLONEGA GA 30533-6489

Officer/Director/Trustee Three

SHAUN BRENNAN
TREASURER
3624 AUTUMN SAGE COURT
DACULA GA 30019-7275

Officer/Director/Trustee Four

LISA JUE
N/A
4443 SANDHURST PLACE
FLOWERY BRANCH GA 30542-4655

Organization’s website WWW.QEDMOTIVATIONAL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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
Signature Title
Signature Date

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