FORM 1023-EZ for DIVERSIFY RETAIL INC

Field Data
EIN 85-2437992
Case Number EO-2020230-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVERSIFY RETAIL INC
Organization’s Mailing Address 4325 FIRST AVENUE UNIT 92
City TUCKER
State GA
ZIP 30085-0017
Accounting period End 12
Primary contact name DEANNA MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JADE SYKES
PRESIDENT
117 W 9TH STREET SUITE 106
LOS ANGELES CA 90015-1509

Officer/Director/Trustee Two

JEKENNIA RAMOS
SECRETARY
2202 DUPONT LANE
TUCKER GA 30084-3729

Officer/Director/Trustee Three

WILLIE DORSEY
TREASURER
2899 COUNTRY CLUB BLVD
ORANGE PARK FL 32073-5733

Organization’s website
Organization’s email DEANNA@DIVERSIFYRETAIL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S03 - Professional Societies, Associations
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JADE SYKES
Signature Title PRESIDENT
Signature Date 8/13/2020

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