FORM 1023-EZ for ADAS ANGELS

Field Data
EIN 85-3783467
Case Number EO-2021064-000959
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAS ANGELS
Organization’s Mailing Address 300 KELLYS ANGELS
City RIDGELAND
State MS
ZIP 39157
Accounting period End 12
Primary contact name BRANDILYNN STATEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDILYNN STATEN
INCORPORATOR/ CEO
300 KELLYS GLEN
RIDGELAND MS 39157

Officer/Director/Trustee Two

WILLONTA BROWN
CEO
715 RICE RD APT 17G
RIDGELAND MS 39157

Officer/Director/Trustee Three

KELLIE STATEN
CHIEF FINANCIAL OFFICER
7075 SKIPPINGSTONE WAY
DOUGLASVILLE GA 30134

Officer/Director/Trustee Four

KIMBERLY RICH
PROGRAM DIRECTOR
1519 DOGWOOD DRIVE LOT 4
WAYNESBORO MS 39367

Officer/Director/Trustee Five

TONIE STATEN
CHIEF OF PUBLIC RELATIONS
700 NORTH JEFFERSON STREET APR 216
JACKSON MS 39202

Organization’s website
Organization’s email adasangelsnonprofit@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name BRANDILYNN STATEN
Signature Title INCORPORATOR/ CEO
Signature Date 1/6/2021

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