FORM 1023-EZ for SUGA TIME

Field Data
EIN 45-2855225
Case Number EO-2019333-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUGA TIME
Organization’s Mailing Address 3908 COUGAR CT
City ELLENWOOD
State GA
ZIP 30294
Accounting period End 8
Primary contact name DEDRIA MEDLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ULYSSESA MOORE
SECRETARY
1201 SPRING CREEK LANE
SANDY SPRINGS GA 30350

Officer/Director/Trustee Two

JABAREE MEDLOCK
CHAIR PERSON
1147 NE 11TH ST
MIAMI FL 33161

Officer/Director/Trustee Three

KENNETH MINCEY JR
PRESIDENT
2201 GREENE ST APT 2
HOLLYWOOD FL 33020

Officer/Director/Trustee Four

THOMAS MEDLOCK
ACCOUNTANT
7600 NW 10TH AVE
MIAMI FL 33150

Officer/Director/Trustee Five

DEDRIA MEDLOCK
DIRECTOR
3908 COUGAR CT
ELLENWOOD FL 30294

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEDRIA MEDLOCK
Signature Title DIRECTOR
Signature Date 11/26/19

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