| Field | Data |
|---|---|
| EIN | 84-2409705 |
| Case Number | EO-2019210-000484 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WILLOW OAK FOUNDATION |
| Organization’s Mailing Address | 37 CALUMET PARKWAY BLDG J SUITE 102 |
| City | NEWNAN |
| State | GA |
| ZIP | 30263-6734 |
| Accounting period End | 12 |
| Primary contact name | DIANE BOULAI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DIANE BOULAI
CEO
361 CLIFFHAVEN CIRCLE
NEWNAN GA 30263-6734
| Organization’s website | |
|---|---|
| Organization’s email | DBOULAI@WILLOWOAKGEORGIA.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/13/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| Organization’s purpose | Charitable: No 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 | DIANE BOULAI |
| Signature Title | CEO |
| Signature Date | 7/26/19 |
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