FORM 1023-EZ for THE UNIVERSITY OF CREEKSIDE INC

Field Data
EIN 86-2568095
Case Number EO-2021099-001788
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE UNIVERSITY OF CREEKSIDE INC
Organization’s Mailing Address 7175 RIVERTOWN ROAD
City FAIRBURN
State GA
ZIP 30213
Accounting period End 12
Primary contact name JASMINE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONTE BENTON
DIRECTOR
101 MARIETTA STREET NW
ATLANTA GA 30303

Officer/Director/Trustee Two

MAURICE DIXON
DIRECTOR
7175 RIVERTOWN RD
FAIRBURN GA 30213

Officer/Director/Trustee Three

JOHN GUICE
DIRECTOR AND PRESIDENT
7175 RIVERTOWN RD
FAIRBURN GA 30213

Officer/Director/Trustee Four

JOHN GUICE
DIRECTOR AND SECRETARY
7175 RIVERTOWN RD
FAIRBURN GA 30213

Officer/Director/Trustee Five

JASMINE JOHNSON
TRUSTEE
5644 COBBLESTONE CREEK PL
MABLETON GA 30126

Organization’s website
Organization’s email ATTORNEY@JASMINEJOHNSONLAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 JASMINE JOHNSON
Signature Title TRUSTEE
Signature Date 3/22/2021

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