FORM 1023-EZ for ATLANTA RESTORATION COVID19 USA BLESSED HORIZON INC

Field Data
EIN 85-1130935
Case Number EO-2020147-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLANTA RESTORATION COVID19 USA BLESSED HORIZON INC
Organization’s Mailing Address 1711 DONALD LEE HOLLOWELL PKWY STE3
City ATLANTA
State GA
ZIP 30318
Accounting period End 12
Primary contact name LUTHER HOUSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUTHER HOUSTON
PRESIDENT/BOARD MEMBER
1711 DONALD LEE HOLLOWELL PKWY STE3
ATLANTA GA 30318

Officer/Director/Trustee Two

MICHAEL JORDAN
BOARD MEMBER
422 PAYTON COURT
STOCKBRIDGE GA 30281

Officer/Director/Trustee Three

KAREN MILLER
BOARD MEMBER
2918 MAGNOLIA AVE
KNOXVILLE TN 37914

Officer/Director/Trustee Four

CLARICE STATEN
BOARD MEMBER
5890 RIVERDALE ROAD
ATLANTA GA 30349

Officer/Director/Trustee Five

JASMINE HOUSTON
BOARD MEMBER
591 LEES MILL RD
FAYETTEVILLE GA 30214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 LUTHER HOUSTON
Signature Title PRESIDENT/BOARD MEMBER
Signature Date 5/21/2020

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