FORM 1023-EZ for GUARDIAN A PLACE TO CALL INC

Field Data
EIN 86-2870444
Case Number EO-2021179-000503
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUARDIAN A PLACE TO CALL INC
Organization’s Mailing Address 310 W WASHINGTON AVE
City NASHVILLE
State GA
ZIP 31639
Accounting period End 12
Primary contact name CYNTHIA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA BROWN
PRESIDENT
310 W WASHINGTON AVE
NASHVILLE GA 31639

Officer/Director/Trustee Two

JAMES BROWN
VICE PRESIDENT
310 W WASHINGTON AVE
NASHVILLE GA 31639

Officer/Director/Trustee Three

DALLAS BROWN
SECRETARY
310 W WASHINGTON AVE
NASHVILLE GA 31639

Officer/Director/Trustee Four

DOUGLAS BROWN
TREASURER
310 W WASHINGTON AVE
NASHVILLE GA 31639

Officer/Director/Trustee Five

D AIRA BROWN
CHAIR MEMBER
310 W WASHINGTON AVE
NASHVILLE GA 31639

Organization’s website
Organization’s email CBROWN@GUARDIANINHOMECARE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 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 Yes
Correctness Declaration Yes
Signature Name CYNTHIA BROWN
Signature Title PRESIDENT
Signature Date 6/24/2021

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