FORM 1023-EZ for FREEDOM HOUSE OUTREACH OF GWINNETTINCORPORATED

Field Data
EIN 83-0656153
Case Number EO-2019036-000754
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREEDOM HOUSE OUTREACH OF GWINNETTINCORPORATED
Organization’s Mailing Address PO BOX 870612
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name BEATRICE JOHNSON-MCIVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEATRICE JOHNSON-MCIVER
CEO/DIRECTOR
PO BOX 870612
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

BEVERLY GIBSON
PRESIDENT
PO BOX 870612
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

MONQUELLE SHAMBURGER
SECRETARY
PO BOX 870612
STONE MOUNTAIN GA 30087

Organization’s website NA
Organization’s email FREEDOMHOUSE2540@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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 BEATRICE JOHNSON-MCIVER
Signature Title CEO/DIRECTOR
Signature Date 1/22/19
EIN 83-0656153
Case Number EO-2019036-000754
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREEDOM HOUSE OUTREACH OF GWINNETT INCORPORATED
Organization’s Mailing Address PO BOX 870612
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name BEATRICE JOHNSON-MCIVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEATRICE JOHNSON-MCIVER
CEO/DIRECTOR
PO BOX 870612
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

BEVERLY GIBSON
PRESIDENT
PO BOX 870612
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

MONQUELLE SHAMBURGER
SECRETARY
PO BOX 870612
STONE MOUNTAIN GA 30087

Organization’s website NA
Organization’s email FREEDOMHOUSE2540@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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 BEATRICE JOHNSON-MCIVER
Signature Title CEO/DIRECTOR
Signature Date 1/22/19

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