FORM 1023-EZ for DIVINE TRANSITIONAL HOUSING

Field Data
EIN 86-3462150
Case Number EO-2021175-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE TRANSITIONAL HOUSING
Organization’s Mailing Address 814 WHITNEY CHASE
City STONE MOUNTAIN
State GA
ZIP 30083
Accounting period End 12
Primary contact name SIERRA FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIERRA FIELDS
PRESIDENT
814 WHITNEY CHASE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Two

TRENT FIELDS
SECRETARY
814 WHITNEY CHASE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Three

LASHOUN MCKANE
SECRETARY
632 BRALORNE DRIVE
STONE MOUNTAIN GA 30087

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2021
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SIERRA FIELDS
Signature Title PRESIDENT
Signature Date 6/22/2021

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