FORM 1023-EZ for ELLIS ELLIOTT A NON-PROFIT ORGANIZATION INCORPORATED

Field Data
EIN 80-0792177
Case Number EO-2016214-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELLIS ELLIOTT A NON-PROFIT ORGANIZATION INCORPORATED
Organization’s Mailing Address 750 FRANKLIN RD APT 17M
City MARIETTA
State GA
ZIP 30067
Accounting period End 12
Primary contact name PORSHA ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PORSHA ELLIS
DIRECTOR
204 HAMPTON CROSSING
NORCROSS GA 30093

Officer/Director/Trustee Two

CIERA ELLIOTT
SECRETARY
750 FRANKLIN RD APT 17M
MARIETTA GA 30067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
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
Signature Title
Signature Date

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