FORM 1023-EZ for SARAHS VINE INC

Field Data
EIN 86-1832193
Case Number EO-2021085-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SARAHS VINE INC
Organization’s Mailing Address 6300 SPRINGS LN APT F
City PEACHTREE CORNERS
State GA
ZIP 30092
Accounting period End 12
Primary contact name AUDREY BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUDREY BELL
CEO FOUNDER
6300 SPRINGS LN APT F
PEACHTREE CORNERS GA 30092

Officer/Director/Trustee Two

MYRIAM DONCHANCE
CHIEF OPERATIONS OFFICER
1008 HOWELL COURT
DULUTH GA 30096

Officer/Director/Trustee Three

RONALD CLARK
ASSOCIATE DIRECTOR
3903 GLENMEADOW DRIVE
MATTHEWS NC 28105

Officer/Director/Trustee Four

SHAWN BENARD
SECRETARY
185 KISLINGBURY ST
ROCHESTER NY 14613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2021
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: 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 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 AUDREY BELL
Signature Title CEO FOUNDER
Signature Date 2/4/2021

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