FORM 1023-EZ for THREE SIXTEEN GROUP HOME INC
| Field | Data |
|---|---|
| EIN | 84-4043559 |
| Case Number | EO-2020030-000273 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THREE SIXTEEN GROUP HOME INC |
| Organization’s Mailing Address | 1496 CLOVERNOLL DR |
| City | CINCINNATI |
| State | GA |
| ZIP | 45231 |
| Accounting period End | 12 |
| Primary contact name | DARLENE PERKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LEE PERKINS
PRESIDENT
640 PARKSIDE PLACE DRIVE
MCDONOUGH GA 30253
Officer/Director/Trustee Two
EDWARD WARD
VICE PRESIDENT
1496 CLOVERNOLL DRIVE
CINCINNATI OH 45231
Officer/Director/Trustee Three
DARLENE PERKINS
SECRETARY
640 PARKSIDE PLACE DRIVE
MCDONOUGH GA 30253
Officer/Director/Trustee Four
SHARLYN MELSON
TREASURER
1496 CLOVERNOLL DRIVE
CINCINNATI OH 45231
Officer/Director/Trustee Five
LATONIA WITHERSPOON
BOARD MEMBER
2768 SILVER FOX RUN
FAIRFIELD TOWNSHIP OH 45011
| Organization’s website | |
|---|---|
| Organization’s email | THREESIXTEENGH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/2020 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| 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 | DARLENE PERKINS |
| Signature Title | SECRETARY |
| Signature Date | 1/28/2020 |
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