FORM 1023-EZ for PEA POD NUTRITION AND LACTATION SUPPORT

Field Data
EIN 45-5534519
Case Number EO-2021242-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEA POD NUTRITION AND LACTATION SUPPORT
Organization’s Mailing Address 235 E PONCE DE LEON AVE SUITE 206
City DECATUR
State GA
ZIP 30030-3412
Accounting period End 12
Primary contact name ALICIA SIMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA SIMPSON
EXECUTIVE DIRECTOR
235 E PONCE DE LEON AVE SUITE 206
DECATUR GA 30030

Organization’s website PEAPODNUTRITION.ORG
Organization’s email INFO@PEAPODNUTRITION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALICIA SIMPSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/26/2021
EIN 45-5534519
Case Number EO-2015244-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEA POD NUTRITION AND LACTATION SUPPORT
Organization’s Mailing Address 6039 RIVEROAK TERRACE
City ATLANTA
State GA
ZIP 30349-4080
Accounting period End 12
Primary contact name ALICIA SIMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BROOKE DIPATRILLO
BOARD MEMBER
265 PARK BRIDGE LANE
ROSWELL GA 30075

Officer/Director/Trustee Two

BREANNA LATHROP
TREASURER
947 CUSTER AVE SE
ATLANTA GA 30316

Officer/Director/Trustee Three

HEDWIG SAINT LOUIS
VICE CHAIR
10395 SHALLOWFORD ROAD
ROSWELL GA 30076

Officer/Director/Trustee Four

CASSANDRA WHITE
SECRETARY
GEORGIA STATE UNIVERSITY
ATLANTA GA 30302-3998

Officer/Director/Trustee Five

ALICIA SIMPSON
CHAIR
6039 RIVEROAK TERRACE
ATLANTA GA 30349-4080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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
Signature Title
Signature Date

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