FORM 1023-EZ for SIGNIFIED ONE INC

Field Data
EIN 83-3386421
Case Number EO-2019038-000598
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIGNIFIED ONE INC
Organization’s Mailing Address 4609 AMY RD
City SNELLVILLE
State GA
ZIP 30039-6671
Accounting period End 12
Primary contact name CRYSTAL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL SMITH
PRESIDENT
4609 AMY RD
SNELLVILLE GA 30039-6671

Officer/Director/Trustee Two

ALICIA SIMMONS
SECRETARY
1000 DULUTH HIGHWAY
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

PATRICK SMITH
VICE PRESIDENT
4609 AMY RD
SNELLVILLE GA 30039-6671

Organization’s website
Organization’s email SIGNIFIED.ORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CRYSTAL SMITH
Signature Title PRESIDENT
Signature Date 2/1/19

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