FORM 1023-EZ for THETA XI PI INCORPORATED

Field Data
EIN 82-5064969
Case Number EO-2018113-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THETA XI PI INCORPORATED
Organization’s Mailing Address 823 WESLEY CLUB DR
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name AARON IVORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON IVORY
FOUNDER
823 WESLEY CLUB DR
DECATUR GA 30034

Officer/Director/Trustee Two

JOSHUA IVORY
TRUSTEE
823 WESLEY CLUB DR
DECATUR GA 30034

Officer/Director/Trustee Three

DERRICK IVORY
TRUSTEE
823 WESLEY CLUB DR
DECATUR GA 30034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 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 AARON IVORY
Signature Title FOUNDER
Signature Date 4/19/18

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