FORM 1023-EZ for AHA MINISTRY INC

Field Data
EIN 81-4284556
Case Number EO-2017159-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AHA MINISTRY INC
Organization’s Mailing Address 7038 PRESERVE PKWY
City FAIRBURN
State GA
ZIP 30213
Accounting period End 12
Primary contact name SHEILA MITCHUM BILLINGSLEA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA BILLINGSLEA
CEO, TREASURER, BOARD OFFICIO
7038 PRESERVE PKWY
FAIRBURN GA 30213

Officer/Director/Trustee Two

BRUCE BILLINGSLEA JR
PRESIDENT, BOARD OFFICIO
408 TREE LODGE PKWY
LITHIA SPRINGS GA 30122

Officer/Director/Trustee Three

TAMMY SAFFO
BOARD CHAIR
9375 PARKWOOD AVENUE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Four

SHIRLEY JENKINS
BOARD MEMBER, SECRETARY
1000 MERLOT COURT
VILLA RICA GA 30180

Organization’s website
Organization’s email AHAMINISTRY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2016
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 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 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
Signature Title
Signature Date

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