FORM 1023-EZ for PAYNE AND GLORY INC

Field Data
EIN 20-5617383
Case Number EO-2020129-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAYNE AND GLORY INC
Organization’s Mailing Address 2777 JEFFERSON STREET SUITE 5
City AUSTELL
State GA
ZIP 30168
Accounting period End 12
Primary contact name CHELSEALYA PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSEALYA PAYNE
CEO
2777 JEFFERSON STREET SUITE 5
AUSTELL GA 30168

Officer/Director/Trustee Two

SONYA JONES
BOARD MEMBER (BUDGET)
2777 JEFFERSON STREET SUITE 5
AUSTELL GA 30168

Officer/Director/Trustee Three

MICHELLE JOHNSON
BOARD MEMBER (MINISTRY)
2777 JEFFERSON STREET SUITE 5
AUSTELL GA 30168

Officer/Director/Trustee Four

FALISHA JOHNSON
BOARD MEMBER (COMMUNITY)
2777 JEFFERSON STREET SUITE 5
AUSTELL GA 30168

Officer/Director/Trustee Five

LATASHA DANIELS
BOARD MEMBER (ADMINISTRATION)
2777 JEFFERSON STREET SUITE 5
AUSTELL GA 30168

Organization’s website WWW.PAYNEANDGLORY.COM
Organization’s email INFO@PAYNEANDGLORY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2010
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
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 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 CHELSEALYA PAYNE
Signature Title CEO
Signature Date 5/6/2020

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