FORM 1023-EZ for HEALTH PAGE LIBERIA INC

Field Data
EIN 27-3271557
Case Number EO-2019029-000973
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH PAGE LIBERIA INC
Organization’s Mailing Address 1665 PINEHURST VIEW DR
City GRAYSON
State GA
ZIP 30017
Accounting period End 12
Primary contact name HENRIETTA ACOLATSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARICE FORD KULAH
PRESIDENT
1665 PINEHURST VIEW DR
GRAYSON GA 30017

Officer/Director/Trustee Two

CHARLESETTA WILLIAMS
SECRETARY
1665 PINEHURST VIEW DR
GRAYSON GA 30017

Officer/Director/Trustee Three

SEKOU BROWN
TREASURER
1665 PINEHURST VIEW DR
GRAYSON GA 30017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/10
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLARICE FORD KULAH
Signature Title PRESIDENT
Signature Date 12/19/18

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