FORM 1023-EZ for MY OPULENT PLACE INC

Field Data
EIN 47-4115950
Case Number EO-2016302-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY OPULENT PLACE INC
Organization’s Mailing Address 2323 VENETIAN DRIVE SW
City ATLANTA
State GA
ZIP 30311
Accounting period End 12
Primary contact name DIANA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA JOHNSON
PRESIDENT
2323 VENETIAN DRIVE SW
ATLANTA GA 30311

Officer/Director/Trustee Two

KARL TOLLIVER
CHAIRPERSON
120 SHELTON DRIVE
MCDONOUGH GA 30252

Officer/Director/Trustee Three

JERRY MOORE
SECRETARY
6601 WELLINGTON SQUARE
NORCROSS GA 39902

Officer/Director/Trustee Four

SHARONLYN DOWDELL
TREASURER
4969 BOULDERCREST ROAD
ELLENWOOD GA 30294

Officer/Director/Trustee Five

THOMAS TILLER
BOARD MEMBER
2010 HIGH GRASS COURT
EVANS GA 30809

Organization’s website WWW.MYOPULENTPLACE.ORG
Organization’s email MOPFORLIVING@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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