FORM 1023-EZ for GATES OF HOPE INC

Field Data
EIN 82-1956109
Case Number EO-2017198-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GATES OF HOPE INC
Organization’s Mailing Address 5783 GILES RD
City LITHONIA
State GA
ZIP 30056
Accounting period End 12
Primary contact name ANNIE BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FAJAR RAHIM
CHAIRPERSON
5782 GILES RD
LITHONIA GA 30016

Officer/Director/Trustee Two

AKIR RAHEEM
VICE CHAIRMAN
815 BELMAR PASS
FAIRBURN GA 30213

Officer/Director/Trustee Three

ERIC ROACH
SECRETARY
815 BELMAR PASS
FAIRBURN GA 30213

Officer/Director/Trustee Four

AZINA OMAR
TREASURER
815 BELMAR PASS
FAIRBURN GA 30213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter 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
Signature Title
Signature Date

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