FORM 1023-EZ for GRANDMA ANNS PLACE INC

Field Data
EIN 87-1838902
Case Number EO-2021281-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRANDMA ANNS PLACE INC
Organization’s Mailing Address 105 WISTERIA LANE
City GUYTON
State GA
ZIP 31312
Accounting period End 12
Primary contact name CHAMARA MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAMARA MITCHELL
PRESIDENT & TREAS & DIR
105 WISTERIA LANE
GUYTON GA 31312

Officer/Director/Trustee Two

TAKIA WALLACE
SECRETARY & DIRECTOR
129 AQUINNAH DRIVE
POOLER GA 31322

Officer/Director/Trustee Three

LAKENDRICK GREEN
DIRECTOR
919 GOLDEN BELL LANE
GROVETOWN GA 30813

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 CHAMARA MITCHELL
Signature Title PRESIDENT & TREAS & DIR
Signature Date 10/6/2021

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