FORM 1023-EZ for GOLD HEARTS AND CROWNS

Field Data
EIN 81-1272788
Case Number EO-2016229-000439
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOLD HEARTS AND CROWNS
Organization’s Mailing Address 165 COLSER DRIVE
City COVINGTON
State GA
ZIP 30016
Accounting period End 12
Primary contact name TIFFANY CUTHBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY CUTHBERT
PRESIDENT
4306 FIVE OAKS WAY
TUCKER GA 30084

Officer/Director/Trustee Two

DANIEL CUTHBERT
VICE PRESIDENT
4306 FIVE OAKS WAY
TUCKER GA 30084

Officer/Director/Trustee Three

KIESHA ALFORD ALFORD
TREASURR
165 COLSER DRIVE
COVINGTON GA 30016

Organization’s website
Organization’s email GOLDHEARTSANDCROWNS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P76 - Youth Housing
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
Signature Title
Signature Date

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