FORM 1023-EZ for OMEGA SUPPORT SERVICES CENTER

Field Data
EIN 81-2084850
Case Number EO-2020139-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA SUPPORT SERVICES CENTER
Organization’s Mailing Address 4213 FELLOWSHIP ROAD STE C
City TUCKER
State GA
ZIP 30084
Accounting period End 12
Primary contact name CHRISTINE BLOODWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE BLOODWORTH
PRESIDENT
2191 DILLARD STREET
TUCKER GA 30084

Officer/Director/Trustee Two

SYDNEY BLOODWORTH
VICE PRESIDENT
2191 DILLARD STREET
TUCKER GA 30084

Officer/Director/Trustee Three

CARLA BELCHER
SECRETARY
2734 RAINBOW FOREST DRIVE
DECATUR GA 30034

Officer/Director/Trustee Four

JENNIFER GRILES
TREASURER
4957 MILSTONE WALK
STONE MOUNTAIN GA 30088

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S43 - Management Services for Small Business, Entrepreneurs
Organization’s purpose Charitable: No
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 CHRISTINE BLOODWORTH
Signature Title PRESIDENT
Signature Date 5/14/2020

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