FORM 1023-EZ for HEPHZIBAH SAFE EXODUS TRAINING PROJECT INC

Field Data
EIN 47-1937472
Case Number EO-2021152-000852
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEPHZIBAH SAFE EXODUS TRAINING PROJECT INC
Organization’s Mailing Address 2100 RIVERSIDE PKWY ST 128 B 129
City LAWRENCEVILLE
State GA
ZIP 30043-5914
Accounting period End 12
Primary contact name DEBORAH RICHMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH RICHMOND
PRESIDENT FOUNDER
2100 RIVERSIDE PKWY ST 128 B 129
LAWRENCEVILLE GA 30043-5914

Officer/Director/Trustee Two

WILLLIE MOORE
BOARD CHAIR
2210 RIVERSIDE PKWY ST 128 B 129
LAWRENCEVILLE GA 30043-5914

Officer/Director/Trustee Three

VALERIE WALTON
SECRETARY
2100 RIVERSIDE PKWY ST 128 B 129
LAWRENCEVILLE GA 30043-5914

Officer/Director/Trustee Four

JOYCE MAYS
TREASURER
2100 RIVERSIDE PKWY ST 128 B 129
LAWRENCEVILLE GA 30043-5914

Organization’s website
Organization’s email HEPHZIBAH.SE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 Yes
Correctness Declaration Yes
Signature Name DEBORAH RICHMOND
Signature Title PRESIDENT FOUNDER
Signature Date 5/29/2021

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