FORM 1023-EZ for ROSA PLACE INCORPORATED

Field Data
EIN 83-1432565
Case Number EO-2018225-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSA PLACE INCORPORATED
Organization’s Mailing Address 1496 CAMPGROUND RD
City MCDONOUGH
State GA
ZIP 30252
Accounting period End 12
Primary contact name VINETTE DANDRADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA GIBBS-BOYKIN
PRESIDENT
1496 CAMPGROUND RD
MCDONOUGH GA 30252

Officer/Director/Trustee Two

LIONELI DARLEOVE
SECRETARY
1496 CAMPGROUND RD
MCDONOUGH GA 30252

Officer/Director/Trustee Three

VINETTE DANDRADE
TREASURER
1451 KLONDIKE RD
CONYERS GA 30094

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
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: 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 Yes
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 VINETTE DANDRADE
Signature Title TREASURER
Signature Date 8/10/18

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