FORM 1023-EZ for SOULCARE COMMUNITY SERVICES INC

Field Data
EIN 82-4055830
Case Number EO-2020136-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOULCARE COMMUNITY SERVICES INC
Organization’s Mailing Address 228 DAISY CIRCLE
City MCDONOUGH
State GA
ZIP 30252
Accounting period End 12
Primary contact name REGINA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA DAVIS
EXECUTIVE DIRECTOR
228 DAISY CIRCLE
MCDONOUGH GA 30252

Officer/Director/Trustee Two

LEAH DAVIS
VICE PRESIDENT
228 DAISY CIRCLE
MCDONOUGH GA 30252

Officer/Director/Trustee Three

DEVONA BELL
CHAIRMAN
302 FAIRWAYS DRIVE
WARNER ROBINS GA 31088

Officer/Director/Trustee Four

CORLISS RICHARDSON
VICE CHAIRMAN
347 WHITBY CIRCLE
DOUGLASVILLE GA 30138

Officer/Director/Trustee Five

LAKESHA COOLEY
SECRETARY/TREASURER
66 FAIR STREET
NEWNAN GA 30263

Organization’s website SOULCARECOMMUNITY.ORG
Organization’s email SOULCARE2020@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 REGINA DAVIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/13/2020

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