FORM 1023-EZ for FLORA ANNS INCORPORATED

Field Data
EIN 81-3840708
Case Number EO-2018317-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORA ANNS INCORPORATED
Organization’s Mailing Address 998 HIGHWAY 1941 UNIT 1791
City HAMPTON
State GA
ZIP 30228
Accounting period End 12
Primary contact name OPAL HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA HARRIS
CEO
752 NORTH POINTE KNOLL COURT
RIVERDALE GA 30274

Officer/Director/Trustee Two

COURTNEY BRINKLEY
CFO
12200 COLDSTREAM COURT
HAMPTON GA 30228

Officer/Director/Trustee Three

ISIS HARRIS
SECRETARY
1461 GLYNN VIEW COURT
HAMPTON GA 30228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/16
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: 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 Yes
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 Yes
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 ANGELA HARRIS
Signature Title CEO
Signature Date 11/8/18

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