FORM 1023-EZ for ATHENS ANTI-DISCRIMINATION MOVEMENT

Field Data
EIN 82-1709502
Case Number EO-2020090-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATHENS ANTI-DISCRIMINATION MOVEMENT
Organization’s Mailing Address PO BOX 6713
City ATHENS
State GA
ZIP 30604
Accounting period End 6
Primary contact name JOHN OLIVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE JOHNSON
PRESIDENT
PO BOX 49096
ATHENS GA 30604

Officer/Director/Trustee Two

MYKEISHA ROSS
VICE PRESIDENT
350 HUNTINGTON ROAD
ATHENS GA 30606

Officer/Director/Trustee Three

JOHN OLIVE
TREASURER
135 GIBBONS WAY
ATHENS GA 30605-4416

Officer/Director/Trustee Four

BARBARA BENSON
SECRETARY & CHAIR OF BOARD
235 DUBOSE AVENUE
ATHENS GA 30601

Officer/Director/Trustee Five

TAMARA HAAG
BOOKKEEPER & BOARD MEMBER
710 KINGS ROAD
ATHENS GA 30606

Organization’s website AADMOVEMENT.ORG
Organization’s email ATHENSANTIDISCRIMINATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN OLIVE
Signature Title TREASURER
Signature Date 3/26/2020
EIN 82-1709502
Case Number EO-2017188-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATHENS ANTI-DISCRIMINATION MOVEMENT
Organization’s Mailing Address PO BOX 49096
City ATHENS
State GA
ZIP 30604
Accounting period End 6
Primary contact name JASMINE COUSINS-JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE COUSINS-JOHNSON
PRESIDENT
168 CHULITNA WAY
BOGART GA 30622

Officer/Director/Trustee Two

GREG WAGSTAFF
CHAIRMAN
229 COLIMA AVE
ATHENS GA 30606

Officer/Director/Trustee Three

DENNIS JOHNSON
VICE PRESIDENT
168 CHULITNA WAY
BOGART GA 30622

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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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