FORM 1023-EZ for REBOUNDING WITH A PURPOSE CORP

Field Data
EIN 82-2083782
Case Number EO-2017244-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBOUNDING WITH A PURPOSE CORP
Organization’s Mailing Address 5682 PALAZZO WAY UNIT 101
City DOUGLASVILLE
State GA
ZIP 30134
Accounting period End 12
Primary contact name CHERYL A FRANCIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL A FRANCIS
CEO
7061 SKIPPINGSTONE WAY
DOUGLASVILLE GA 30134

Officer/Director/Trustee Two

AMANDA BRYANT
CAMPAIGN FUND DIRECTOR
7896 SUNVALLEY LANE
LITHIA SPRINGS GA 30122

Officer/Director/Trustee Three

NINA WHITE
SECRETARY
PO BOX 1018
HIRAM GA 30141

Officer/Director/Trustee Four

LAWREY FRANCIS
CFO
7061 SKIPPINGSTONE WAY
DOUGLASVILLE GA 30134

Officer/Director/Trustee Five

KATHY BROWN-BRAGG
PROGRAM COORDINATOR
3967 PARHAM WAY
COLLEGE PARK GA 30349

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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
Signature Title
Signature Date

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