FORM 1023-EZ for GEORGIAS LIFE LINE COMPANY

Field Data
EIN 83-2916184
Case Number EO-2019087-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEORGIAS LIFE LINE COMPANY
Organization’s Mailing Address 489 WASHINGTON DR
City JONESBORO
State GA
ZIP 30238-8504
Accounting period End 12
Primary contact name MITCHELL HARVEY-GIBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAFAEL SANDRIDGE
OFFICER
3195 HIGH GREEN
COLLEGE PARK GA 30349

Officer/Director/Trustee Two

SELETHIA CHEELEY
OFFICER
331 WEBSTER LN
JONESBORE GA 30238

Officer/Director/Trustee Three

WANDA HARVEY
DIRECTOR
11946 PANHANDLE RD
HAMPTON GA 30228

Officer/Director/Trustee Four

WALTER MCCANTS
TREASURER
100 TAMELLIA LN APT 7
LITHONIA GA 30058

Officer/Director/Trustee Five

MITCHELL HARVEY-GIBBS
DIRECTOR
489 WASHINGTON DR
JONEBSORO GA 30238

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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 MITCHELL HARVEY-GIBBS
Signature Title DIRECTOR
Signature Date 3/26/19

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