FORM 1023-EZ for HARMONY ROSE CARE FOUNDATION INC

Field Data
EIN 83-1158239
Case Number EO-2018194-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARMONY ROSE CARE FOUNDATION INC
Organization’s Mailing Address 816 TIBET AVE
City SAVANNAH
State GA
ZIP 31406
Accounting period End 12
Primary contact name JANNETT SEABROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY ALLEN
OFFICER
8330 BLACK CREEK CHURCH RD
BROOKLET GA 30415

Officer/Director/Trustee Two

CASSANDRA GREEN
OFFICER
28 WATERSTONE CIRCLE
SAVANNAH GA 31405

Officer/Director/Trustee Three

SHATA BYNES
OFFICER
462 ADA DRIVE
MILLEN GA 30442

Officer/Director/Trustee Four

JANNETT SEABROOKS
DIRECTOR
816 TIBET AVE
SAVANNAH GA 31406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
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 JANNETT SEABROOKS
Signature Title DIRECTOR
Signature Date 7/11/18

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