FORM 1023-EZ for THE POTTERS HOUSE

Field Data
EIN 63-1086310
Case Number EO-2018113-000607
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE POTTERS HOUSE
Organization’s Mailing Address 2685 ELDORADO PLACE
City SNELLVILLE
State GA
ZIP 30078
Accounting period End 3
Primary contact name RONALD WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD WILLIAMS
PRESIDENT
2685 ELDORADO PLACE
SNELLVILLE GA 30078

Officer/Director/Trustee Two

ELKA WILLIAMS
VICE PRESIDENT
2685 ELDORADO PLACE
SNELLVILLE GA 30078

Officer/Director/Trustee Three

YVONNE MCLARTY
TREASURY
4626 BEAU POINT CT
SNELLVILLE GA 30039

Officer/Director/Trustee Four

DARLENE WHITE
SECRETARY
4286 MINER CREEK ROAD
LITHONIA GA 30038

Officer/Director/Trustee Five

RON HENRY
BOARD MEMBER
826 BAY POINT DRIVE
MACON GA 31220

Organization’s website POTTERSHOUSETRANSITIONALCENTER.ORG
Organization’s email POTTERSHOUSETRANSITIONALCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/93
Organization Incorporation State AL
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: Yes
Scientific: Yes
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELKA WILLIAMS
Signature Title VICE PRESIDENT
Signature Date 4/20/18

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