FORM 1023-EZ for THE VIRGIN ISLANDS SHADES OF CHOCOLATE INC

Field Data
EIN 32-0331193
Case Number EO-2015306-000424
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE VIRGIN ISLANDS SHADES OF CHOCOLATE INC
Organization’s Mailing Address 2864 HILLVALE COVE DRIVE
City LITHONIA
State GA
ZIP 30058
Accounting period End 9
Primary contact name ANTOINETTE THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTOINETTE THOMAS
PRESIDENT
2864 HILLVALE COVE DRIVE
LITHONIA GA 30058

Officer/Director/Trustee Two

VALENCIA PETERSEN
SECRETARY
10 COPELAND CIRCLE
COVINGTON GA 30016

Officer/Director/Trustee Three

RENEE THOMAS
TREASURER
1379 PERSIMMON COURT
LITHONIA GA 30058

Officer/Director/Trustee Four

GLORIA BONELLI
DIRECTOR
425 MONTGOMERY PLACE
JONESBORO GA 30238

Officer/Director/Trustee Five

BONGI ABRAHAM
DIRECTOR
401 CAMERON LANDING DR
STOCKBRIDGE GA 30281

Organization’s website
Organization’s email TOTHM6@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
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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