FORM 1023-EZ for ZOKHA AUTISM CENTER INC

Field Data
EIN 86-3786459
Case Number EO-2021176-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZOKHA AUTISM CENTER INC
Organization’s Mailing Address 1215 NOTTLEY DR
City LOCUST GROVE
State GA
ZIP 30248
Accounting period End 12
Primary contact name LAKREDI TU ALSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKREDI TU ALSTON
CEO
1215 NOTTLEY DR
LOCUST GROVE GA 30248

Officer/Director/Trustee Two

SAMANTHA CHUI
DIRECTOR
3300 HOLCOMB BRIDGE RD STE 226
PEACHTREE CORNERS GA 30092

Officer/Director/Trustee Three

CARISSA HARDY
DIRECTOR
1215 NOTTLEY DR
LOCUST GROVE GA 30248

Organization’s website
Organization’s email ARC@AUTISMRESPITECAREANGEL.INFO
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 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 LAKREDI TU ALSTON
Signature Title CEO
Signature Date 6/23/2021

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