FORM 1023-EZ for A LOVING ACT

Field Data
EIN 81-5433381
Case Number EO-2017054-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A LOVING ACT
Organization’s Mailing Address 948 SLIVERWOOD DR
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 12
Primary contact name REGINALD THUSSEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK NEWMAN
CHAIR
132 EAST LAKE POINT
SPRINGFEILD MO 65804

Officer/Director/Trustee Two

KATIE MOORE
VICE CHAIR
2041 BONISIE DR
WEST PALM BEACH FL 33418

Officer/Director/Trustee Three

TERRI JACKSON
TREASURER
708 PRESTON LANDING CIRCLE
LITHIA SPRINGS GA 65804

Officer/Director/Trustee Four

LINDA GAMBLE
VICE CHAIR OPERATIONS
5789 WELLBORN CREEK DR
LITHONIA GA 30058

Officer/Director/Trustee Five

BENTIA BROWN
SECRETARY
1584 PARK CREEK LANE
BROOKHAVEN GA 30319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P02 - Management & Technical Assistance
Organization’s purpose Charitable: No
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 Yes
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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