FORM 1023-EZ for OMEGA MEN OF DOUGLAS COUNTY

Field Data
EIN 46-1142423
Case Number EO-2019304-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA MEN OF DOUGLAS COUNTY
Organization’s Mailing Address PO BOX 6142
City DOUGLASVILLE
State GA
ZIP 30154-20
Accounting period End 12
Primary contact name QUINTON J DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FREDRICK PERRY
PRESIDENT
3270 FOUNDERS WAY
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

QUINTON DIXON
VICE PRESIDENT
4695 N CHURCH LN SE APT 2012
SMYRNA GA 30339

Organization’s website STEPPINGSTONES2005.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/12
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name QUINTON DIXON
Signature Title VICE PRESIDENT
Signature Date 10/29/19

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