FORM 1023-EZ for BOUNCE BACK BETTER INC

Field Data
EIN 83-2644848
Case Number EO-2019029-000758
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOUNCE BACK BETTER INC
Organization’s Mailing Address 1125 LULLWATER ROAD NE
City ATLANTA
State GA
ZIP 30307
Accounting period End 12
Primary contact name MANDY ROLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANDY ROLLINS
BOARD CHAIRMAN
1125 LULLWATER ROAD
ATLANTA GA 30307

Officer/Director/Trustee Two

TERI TAKLE-FLACH
BOARD TREASURER
804 RIVER FOREST DRIVE
MAINEVILLE OH 45039

Officer/Director/Trustee Three

LYNN HENNEN
BOARD SECRETARY
621 KOEHNEN CIRCLE
CHASKA MN 55318

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 MANDY ROLLINS
Signature Title BOARD CHAIRMAN
Signature Date 12/20/18

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