FORM 1023-EZ for SINGLE ROSE WOMEN OF WELLNESS INC

Field Data
EIN 82-1172027
Case Number EO-2018101-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE ROSE WOMEN OF WELLNESS INC
Organization’s Mailing Address PO BOX 180
City ALPHARETTA
State GA
ZIP 30009
Accounting period End 12
Primary contact name LISA DESHIELD-CISTRUNK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA DESHIELD-CISTRUNK
PRESIDENT, DIRECTOR
PO BOX 180
ALPHARETTA GA 30009

Officer/Director/Trustee Two

ONYAY SHERMAN
SECRETARY, DIRECTOR
75 CHANDLER FIELD DR
COVINGTON GA 30016

Officer/Director/Trustee Three

SHARON MCNEIL
TREASURER, DIRECTOR
9781 IVEY RIDGE CIR
JONESBORO GA 30238

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 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 LISA DESHIELD-CISTRUNK
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/9/18

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