FORM 1023-EZ for JALENS HOUSE OF STRENGTH INC

Field Data
EIN 84-4872313
Case Number EO-2020063-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JALENS HOUSE OF STRENGTH INC
Organization’s Mailing Address 11764 LOVEJOY CROSSING BLVD
City HAMPTON
State GA
ZIP 30228
Accounting period End 12
Primary contact name LATEKA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKISHA SPENCER
CHAIRMAN
4280 MEMORIAL DR SUITE C
DECATUR GA 30032

Officer/Director/Trustee Two

SHYNITA PONTON
VICE CHAIRMAN
5122 RAPAHOE TRAIL
ATLANTA GA 30349

Officer/Director/Trustee Three

SHARON SHUMAKER
TREASURER
7722 SYLVANER LANE
ATLANTA GA 30349

Officer/Director/Trustee Four

DASHON SIDWELL
SECRETARY
1373 SANDROCK LANE SW
ATLANTA GA 30331

Officer/Director/Trustee Five

LATEKA HARRIS
BOARD MEMBER
11764 LOVEJOY CROSSING BLVD
HAMPTON GA 30228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 LATEKA HARRIS
Signature Title BOARD MEMBER
Signature Date 3/1/2020

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