FORM 1023-EZ for CITY RANCH INC

Field Data
EIN 81-4146693
Case Number EO-2016293-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITY RANCH INC
Organization’s Mailing Address 1205 JOHNSON FERRY ROAD SUITE 136
City MARIETTA
State GA
ZIP 30068
Accounting period End 12
Primary contact name MICHELLE UCHIYAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN ROGERS
TREASURER
327 DAHLONEGA STREET
CUMMING GA 30040

Officer/Director/Trustee Two

MARK VICTOR
PRESIDENT
1205 JOHNSON FERRY ROAD
MARIETTS GA 30068

Officer/Director/Trustee Three

MICHELLE UCHIYAMA
SECRETARY
3654 WOODSTREAM CIRCLE NE
BROOKHAVEN GA 30319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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