FORM 1023-EZ for DIVERSE WOMEN OF WORTH INC

Field Data
EIN 84-4566731
Case Number EO-2020044-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVERSE WOMEN OF WORTH INC
Organization’s Mailing Address 275 BRADY WALK
City LAWRENCEVILLE
State GA
ZIP 30046-8846
Accounting period End 12
Primary contact name MICHELLE ANDREA CHAMBERS-JEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE CHAMBERS-JEAN
CEO
275 BRADY WALK
LAWRENCEVILLE GA 30046-8846

Officer/Director/Trustee Two

DIAMAHANIE MONTAGUE
CFO
275 BRADY WALK
LAWRENCEVILLE GA 30046-8846

Officer/Director/Trustee Three

LORNA LINTON
TRUSTEE
8660 NW 28TH STREET
SUNRISE FL 33322-2318

Officer/Director/Trustee Four

SAMAIYAH HARRIS
TRUSTEE
1074 REDWOOD DR
NORCROSS GA 30093-3738

Officer/Director/Trustee Five

DEANDREA HAGINS
TRUSTEE
232 MATEO WALK
LAWRENCEVILLE GA 30046-5880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 MICHELLE CHAMBERS-JEAN
Signature Title CEO
Signature Date 2/11/2020

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