FORM 1023-EZ for CROWNED FOR PURPOSE CORPORATION

Field Data
EIN 82-3984772
Case Number EO-2018177-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROWNED FOR PURPOSE CORPORATION
Organization’s Mailing Address PO BOX 4932
City MARIETTA
State GA
ZIP 30061
Accounting period End 12
Primary contact name KEISHA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRISTAN HAYNES
TRUSTEE
1007 WAVERLY DRIVE
BAY SAINT LOUIS MS 39520

Officer/Director/Trustee Two

ANGELA ROBINSON
OFFICER
3065 BRASS DRIVE
AUSTELL GA 30106

Officer/Director/Trustee Three

KEISHA SMITH
DIRECTOR
3550 KENNESAW STATION DRIVE
KENNESAW GA 30144

Organization’s website WWW.CROWNEDFORPURPOSE.ORG
Organization’s email INFO@CROWNEDFORPURPOSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 KEISHA SMITH
Signature Title DIRECTOR
Signature Date 6/24/18

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