FORM 1023-EZ for A HOME FOR TINA INC

Field Data
EIN 86-2471251
Case Number EO-2021096-001267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HOME FOR TINA INC
Organization’s Mailing Address 131 PONCE DE LEON AVE NE UNIT 406
City ATLANTA
State GA
ZIP 30308
Accounting period End 12
Primary contact name MELINDA MOSES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA MOSES
PRESIDENT/DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Officer/Director/Trustee Two

KARA MOORE
TREASURER/DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Officer/Director/Trustee Three

CARAI DRIFFIN
SECRETARY/DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Officer/Director/Trustee Four

CHRISTOPHER WASHINGTON
EXECUTIVE DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Organization’s website
Organization’s email CWASHE2121@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L22 - Senior Citizens' Housing/Retirement Communities
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 MELINDA MOSES
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/11/2021
EIN 86-2471251
Case Number EO-2021096-001267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HOME FOR TINA INC
Organization’s Mailing Address 131 PONCE DE LEON AVE NE UNIT 406
City ATLANTA
State GA
ZIP 30308
Accounting period End 12
Primary contact name MELINDA MOSES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA MOSES
PRESIDENT/DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Officer/Director/Trustee Two

KARA MOORE
TREASURER/DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Officer/Director/Trustee Three

CARAI DRIFFIN
SECRETARY/DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Officer/Director/Trustee Four

CHRISTOPHER WASHINGTON
EXECUTIVE DIRECTOR
131 PONCE DE LEON AVE NE UNIT 406
ATLANTA GA 30308

Organization’s website
Organization’s email CWASHE2121@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L22 - Senior Citizens' Housing/Retirement Communities
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 MELINDA MOSES
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/11/2021

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