FORM 1023-EZ for JOVIAN COMPASSIONATE CARE HOME INC

Field Data
EIN 83-0535163
Case Number EO-2018186-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOVIAN COMPASSIONATE CARE HOME INC
Organization’s Mailing Address 7195 WALTON RESERVE LN
City AUSTELL
State GA
ZIP 30168
Accounting period End 12
Primary contact name JOHNSON TWENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN DUAKO
PRESIDENT, DIRECTOR
7195 WALTON RESERVE LN
AUSTELL GA 30168

Officer/Director/Trustee Two

JOHNSON TWENE
SECRETARY, DIRECTOR
7195 WALTON RESERVE LN
AUSTELL GA 30168

Officer/Director/Trustee Three

PHILLIMON OWUSU
TREASURER, DIRECTOR
2765 TOPAZ ROAD
RIVERDALE GA 30296

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHNSON TWENE
Signature Title SECRETARY, DIRECTOR
Signature Date 7/2/18

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