FORM 1023-EZ for ENVISION ALPHARETTA INC

Field Data
EIN 81-5015960
Case Number EO-2017040-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENVISION ALPHARETTA INC
Organization’s Mailing Address 11785 NORTHFALL LANE SUITE 510
City ALPHARETTA
State GA
ZIP 30009
Accounting period End 12
Primary contact name MARK WYSSBROD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WYSSBROD
PRESIDENT
2500 CLAIRVIEW STREET
ALPHARETTA GA 30009

Officer/Director/Trustee Two

JASON BINDER
VICE PRESIDENT
150 NORTH BLUFF
ALPHARETTA GA 30004

Officer/Director/Trustee Three

MARVIN AUSTIN
TREASURER
16895 QUAYSIDE DRIVE
ALPHARETTA GA 30004

Officer/Director/Trustee Four

STEFANIE SHEEHAN
SECRETARY
2028 GARDNER DRIVE
ALPHARETTA GA 30009

Officer/Director/Trustee Five

SABINE EBEL-GENET
DIRECTOR
1150 COMPASS POINTE CROSSING
ALPHARETTA GA 30005

Organization’s website WWW.ENVISIONALPHARETTA.COM
Organization’s email INFO@ENVISIONALPHARETTA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 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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