FORM 1023-EZ for TCIM SOBER LIVING PLACE INC

Field Data
EIN 35-2673987
Case Number EO-2019333-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TCIM SOBER LIVING PLACE INC
Organization’s Mailing Address 4202-A PLEASANT LAKE VILLAGE LN
City DULUTH
State GA
ZIP 30096
Accounting period End 10
Primary contact name MARY BENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY BENSON
CEO
4202-A PLEASANT LAKE VILLAGE LN
DULUTH GA 30096

Officer/Director/Trustee Two

SAMUEL CURRY
COO
2012 WESTCHESTER LN NE
ATLANTA GA 30345

Officer/Director/Trustee Three

MICHELLE CREMEANS
SECRETARY
2012 WESTCHESTER LN NE
ATLANTA GA 30345

Organization’s website WWW.TCIMSOBERLIVINGPLACE.ORG
Organization’s email MBENSONC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY BENSON
Signature Title CEO
Signature Date 11/27/19

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