FORM 1023-EZ for NAMI COBB INC

Field Data
EIN 82-3087681
Case Number EO-2018057-000605
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAMI COBB INC
Organization’s Mailing Address PO BOX 999
City KENNESAW
State GA
ZIP 30156-999
Accounting period End 12
Primary contact name PAUL E WISER SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEVANDER DYKES
PRESIDENT
3677 ARROWHEAD PLACE
DOUGLASVILLE GA 30134-4285

Officer/Director/Trustee Two

PAUL WISER
TREASURER
2067 SHILLINGWOOD DRIVE NW
KENNESAW GA 30152-4251

Officer/Director/Trustee Three

GREG AUSHAM
VICE PRESIDENT
39 SHADOWLAWN ROAD SE
MARIETTA GA 30067-6726

Officer/Director/Trustee Four

DONNA HOOK
SECRETARY
317 LAUREL GLEN XING
CANTON GA 30144-6680

Officer/Director/Trustee Five

TIFFANY WELCH
OUTREACH CHAIR
1263 IRWIN LAKE WAY
MARIETTA GA 30064-5749

Organization’s website WWW.NAMICOBB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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 PAUL WISER
Signature Title TREASURER
Signature Date 2/24/18

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