FORM 1023-EZ for WILLIETTE SAFEHOUSE FOUNDATION INC

Field Data
EIN 81-3951880
Case Number EO-2016277-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIETTE SAFEHOUSE FOUNDATION INC
Organization’s Mailing Address PO BOX 1067
City GRAYSON
State GA
ZIP 30017-0021
Accounting period End 12
Primary contact name RITA STRYKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRINCESS STRYKER GIBSON
SECRETARY
1383 ORLEANS COURT
GRAYSON GA 30017-1071

Officer/Director/Trustee Two

RITA STRYKER
CHARMAN
1106 OGLETHORPE AVE SW
ATLANTA GA 30310-2610

Officer/Director/Trustee Three

MARILEE STRYKER SOMERVILLE
TREASURER
712 ARRANMORE COURT
STOCKBRIDGE GA 30281-7960

Organization’s website
Organization’s email RITA559@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
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 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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