FORM 1023-EZ for MEMES BOMBAY HOUSE INC

Field Data
EIN 84-4213277
Case Number EO-2020010-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEMES BOMBAY HOUSE INC
Organization’s Mailing Address 2924 VETERANS MEMORIAL HIGHWAY
City AUSTELL
State GA
ZIP 30168-4026
Accounting period End 12
Primary contact name MICHAEL JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL JOHNSON
CEO
2924
AUSTELL GA 30168-4026

Officer/Director/Trustee Two

PATRICIA JOHNSON
CFO
2924 VETERANS MEMORIAL HIGHWAY
AUSTELL GA 30168-4026

Officer/Director/Trustee Three

ALVIN SIMMONS
COO
2924 VETERANS MEMORIAL HIGHWAY
AUSTELL GA 30168

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 MICHAEL JOHNSON
Signature Title CEO
Signature Date 1/8/2020

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