FORM 1023-EZ for CASA MATERNA ANA SAYRE-US INC

Field Data
EIN 81-3255113
Case Number EO-2016202-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASA MATERNA ANA SAYRE-US INC
Organization’s Mailing Address 1800 CLAIRMONT LAKE-419
City DECATUR
State GA
ZIP 30033-4039
Accounting period End 6
Primary contact name BARBARA GIFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE SAYRE
CHAIR
1800 CLAIRMONT LAKE-419
DECATUR GA 30033-4039

Officer/Director/Trustee Two

BARBARA GIFFORD
VICE CHAIR
220 GARDEN LANE
DECATUR GA 30030-2376

Officer/Director/Trustee Three

ELIZABETH HOSP
SECRETARY-TREASURER
110 WHITEFOORD AVE NE
ATLANTA GA 30307-2804

Organization’s website CASAMATERNAANASAYRE
Organization’s email ASAYRE@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q11 - Single Organization Support
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 Yes
Conducting Activities Outside of United States Yes
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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