FORM 1023-EZ for HER DIVINE BEAUTY INCORPORATED

Field Data
EIN 83-2720874
Case Number EO-2019094-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HER DIVINE BEAUTY INCORPORATED
Organization’s Mailing Address 2072 ASHMORE DRIVE
City KETTERING
State OH
ZIP 45420
Accounting period End 12
Primary contact name MONIQUE DUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONIQUE DUNN
EXECUTIVE DIRECTOR
2072 ASHMORE DRIVE
KETTERING OH 45420

Officer/Director/Trustee Two

KHALILAH FORTE
BOARD MEMBER
6198 WEYBRIDGE DR
TROTWOOD OH 45426

Officer/Director/Trustee Three

ASHLEY JONES
BOARD MEMBER
1429 KUMLER AVE
DAYTON OH 45406

Officer/Director/Trustee Four

ERICKA JACKSON
BOARD MEMBER
9800 AIRLINE HWY 225
BATON ROUGE LA 70816

Officer/Director/Trustee Five

DION LEWIS
BOARD MEMBER
6537 CREEKVIEW COURT
RIVERDALE GA 30296

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 MONIQUE DUNN
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/2/19

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