FORM 1023-EZ for PINOCCHIO PALACE INC

Field Data
EIN 20-3674242
Case Number EO-2016305-000398
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINOCCHIO PALACE INC
Organization’s Mailing Address 103 SOUTH LOVE STREET
City THOMASVILLE
State GA
ZIP 31792
Accounting period End 12
Primary contact name PATRICIA DESHAZIOR HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA HILL
PRESIDENT
103 SOUTH LOVE STREET
THOMASVILLE GA 31792

Officer/Director/Trustee Two

DESHAMOND PICKETT
VICE PRESIDENT
203 CHRISTOPHER MICHAEL LANE
HAMPTON GA 30228

Officer/Director/Trustee Three

PAMELA KELLY
TREASURER
49 HIGHLAND GLEN DR APT 610
RANDOLPH MA 02368

Officer/Director/Trustee Four

CASEY DYSTERHOUSE
SECRETARY
516 E GATE DRIVE
THOMASVILLE GA 31757

Officer/Director/Trustee Five

MARY ANNE LOU
OFFICER
PO BOX 32
GORDON GA 31031

Organization’s website
Organization’s email PINOCCHIOPALACE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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
Signature Title
Signature Date

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