FORM 1023-EZ for I-STEM USA

Field Data
EIN 47-2127024
Case Number EO-2016036-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I-STEM USA
Organization’s Mailing Address 8023 WINDMARK PL
City LITHIA SPRINGS
State GA
ZIP 30122
Accounting period End 12
Primary contact name ERICK MAXWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHELSEA HOWARD
TRUSTEE
3871 MONTICELLO STREET
DOUGLASVILLE GA 30135

Officer/Director/Trustee Two

CARL LASSITER
TRUSTEE
6063 KINGSTON DRIVE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Three

ERICK MAXWELL
TRUSTEE/DIRECTOR/CTO
8023 WINDMARK PLACE
LITHIA SPRINGS GA 30122

Officer/Director/Trustee Four

JAMIE MAXWELL
TRUSTEE
8023 WINDMARK PLACE
LITHIA SPRINGSQ GA 30122

Officer/Director/Trustee Five

TERRY STEPHENS
TRUSTEE
4164 WELLS CIRCLE
DOUGLASVILLE GA 30122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U40 - Engineering and Technology Research, Services
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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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