FORM 1023-EZ for GRACE MERCY TURN AROUND CENTER INC

Field Data
EIN 81-5031370
Case Number EO-2017023-000351
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE MERCY TURN AROUND CENTER INC
Organization’s Mailing Address 4841 BUCHLI LANE
City LITHONIA
State GA
ZIP 30038
Accounting period End 12
Primary contact name CELENA DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RASHARD ROYSTER
PRESIDENT
4847 BUCHLI LANE
LITHONIA GA 30038

Officer/Director/Trustee Two

RAYLISHA DIXON
TREASURER
4847 BUCHLI LANE
LITHONIA GA 30038

Officer/Director/Trustee Three

MONIQUE HOWARD
SECRETARY
4847 BUCHLI LANE
LITHONIA GA 30038

Officer/Director/Trustee Four

CELENA DIXON
EXECUTIVE DIRECTOR
4847 BUCHLI LANE
LITHONIA GA 30038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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