FORM 1023-EZ for MOTHERS AGAINST GANG VIOLENCE

Field Data
EIN 82-1537447
Case Number EO-2019182-000641
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHERS AGAINST GANG VIOLENCE
Organization’s Mailing Address 960 CONSTITUTION ROAD
City ATLANTA
State GA
ZIP 30315
Accounting period End 6
Primary contact name TEKESIA SHILEDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEKESIA SHIELDS
DIRECTOR
960 CONSTITUTION RD
ATLANTA GA 30315

Officer/Director/Trustee Two

WAVELLA BELL
SITE DIRECTOR
525 PEOPLES ST
ATLANTA GA 30310

Officer/Director/Trustee Three

KYERON SIMMONS
COO
3230 DOGWOOD DRIVE
EAST POINT GA 30344

Officer/Director/Trustee Four

KYERON SIMMONS
COO
3230 DOGWOOD
EAST POINT GA 30344

Officer/Director/Trustee Five

WAVELLA BELL
SITE DIRECTOR
525 PEOPLES ST
ATLANTA GA 30310

Organization’s website MAGVIOLENCE.COM
Organization’s email MAGVIOLENCE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
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: 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 TEKESIA SHIELDS
Signature Title DIRECTOR
Signature Date 6/28/19

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